RICHARD DAVIS (M. D.) – Anesthesiology Physician, NPI 1225142052

RICHARD DAVIS (M. D.) is a healthcare provider. based in Carrollton, Georgia. specializing in ANESTHESIOLOGY. They hold the professional credentials M. D.. They hold a License No. 052161 (GA). The NPI Number for RICHARD DAVIS (M. D.) is 1225142052

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD DAVIS (M. D.)
NPI
1225142052
Phone
(770) 836-9666
Address
119 AMBULANCE DR STE 202
Enumeration Date
18 August 2006
Last Update Date
22 June 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8002325703
Graduation Year
2001 (25 years ago)
PAC ID
8921150293
Group Practice PAC ID
2365456308
Professional Enrollment ID
I20090716000690
Address ID
GA301173818CA705XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

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Provider Addresses for RICHARD DAVIS (M. D.)

  • Ambulance Drive, Carrollton, Carroll County, Georgia, 30119, United States

    CARROLLTON, GA 301173857

    Phone: (770) 836-9666

    Fax: (770) 812-5022

    Type: Mailing

  • Tanner Medical Center, 705, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States

    CARROLLTON, GA 301173818

    Phone: (770) 836-9666

    Fax: (770) 812-5022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($72).

Total Amount

$148

General + Research + Ownership

Payments

6

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-07-16

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
I20090716000690IAnesthesiologyGATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Provider's Procedures

RICHARD DAVIS (M. D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYGA00790Anesthesia for procedure in upper abdomen including use of an endoscope1717
ANESTHESIOLOGYGA01402Anesthesia for open or endoscopic total knee joint replacement1818
ANESTHESIOLOGYGA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2626

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: 2365456308View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
-NC
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)MD
-AL
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)GA

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Frequently asked questions

What identifier follows RICHARD DAVIS (M. D.) across health systems?
The NPI 1225142052 uniquely identifies RICHARD DAVIS (M. D.) in U.S. healthcare data.
Should I treat RICHARD DAVIS (M. D.) as an active provider?
Patients and plans typically see RICHARD DAVIS (M. D.) as active in the national extract.
How should patients interpret RICHARD DAVIS (M. D.)'s specialty?
The extract shows Anesthesiology Physician for RICHARD DAVIS (M. D.). Clinical services aligned with this taxonomy classification.
Is RICHARD DAVIS (M. D.) tied to Carrollton, Georgia?
If you are local to Carrollton, Georgia, RICHARD DAVIS (M. D.) may be relevant to your search.
Who maintains RICHARD DAVIS (M. D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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