DR. BRENT WILLIAM DAVIDSON (MD) – Emergency Medicine Physician, NPI 1104874197

DR. BRENT WILLIAM DAVIDSON (MD) is a healthcare provider. based in Hiawassee, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 029622 (GA). The NPI Number for DR. BRENT WILLIAM DAVIDSON (MD) is 1104874197

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT WILLIAM DAVIDSON (MD)
NPI
1104874197
Phone
(706) 896-2222
Address
PO BOX 509
Enumeration Date
4 May 2006
Last Update Date
5 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068962222
Graduation Year
1982 (44 years ago)
PAC ID
7719874544
Group Practice PAC ID
5294003844
Professional Enrollment ID
I20040304000385
Address ID
GA305463408HI110XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. BRENT WILLIAM DAVIDSON (MD)

  • PO BOX 509

    HIAWASSEE, GA 305460509

    Phone: (706) 896-2222

    Fax: (706) 896-7872

    Type: Mailing

  • 110 S MAIN ST

    HIAWASSEE, GA 305463408

    Phone: (706) 896-2222

    Fax: (706) 896-7872

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304000385IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes16182$0
99284Emergency department visit with moderate level of medical decision making9286$0
99291Critical care, first 30-74 minutes6160$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5340$0
99285Emergency department visit with high level of medical decision making3938$0
View full utilization report →

Insurance plans in this area (ZIP 30546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294003844View full group profile
NameSpecialtyState
Emergency MedicineGA
General Practice, General SurgeryGA
Emergency Medicine, Family PracticeNC

Reviews

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Frequently asked questions

How do payers reference DR. BRENT WILLIAM DAVIDSON (MD)?
For DR. BRENT WILLIAM DAVIDSON (MD), use NPI 1104874197 as the unique 10-digit identifier.
Is DR. BRENT WILLIAM DAVIDSON (MD) still an active registrant?
DR. BRENT WILLIAM DAVIDSON (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. BRENT WILLIAM DAVIDSON (MD)?
DR. BRENT WILLIAM DAVIDSON (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRENT WILLIAM DAVIDSON (MD)?
Directory geography for DR. BRENT WILLIAM DAVIDSON (MD) centers on Hiawassee, Georgia.
When was this NPI issued?
Enumeration for DR. BRENT WILLIAM DAVIDSON (MD) is noted as May 4, 2006 where the registry provides it.

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