ANTHONY B SR. DAVIS (PA) – Physician Assistant, NPI 1285722991
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANTHONY B SR. DAVIS (PA)
PO BOX 1539
MOULTRIE, GA 317761539
Phone: (229) 785-2400
Type: Mailing
4, Live Oak Court, Moultrie, Colquitt County, Georgia, 31768, United States
MOULTRIE, GA 317686783
Phone: (229) 785-2400
Type: Location
16 LIVE OAK CT
MOULTRIE, GA 31768
Phone: (229) 891-9148
Type: Location
PO BOX 2876
MOULTRIE, GA 317762876
Phone: (229) 891-9148
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $2,126.
Total Amount is formed as General ($2,126) + Research ($0) + Ownership ($0) = $2,126.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Axonics, Inc. ($452).
Total Amount
$2,126
General + Research + Ownership
Payments
70
Total payment records
General Amount
$2,126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $452 |
| Sumitomo Pharma America, Inc. | $302 |
| Endo Pharmaceuticals Inc. | $228 |
| Boston Scientific Corporation | $147 |
| PROCEPT BioRobotics Corporation | $143 |
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: 2005-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050407000684 | I | Physician Assistant | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31776)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | GA | |
| U R O L O G Y | WI |
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