ANGELA MARIE DAVIS (M.D.) – Family Medicine Physician, NPI 1760689319

ANGELA MARIE DAVIS (M.D.) is a healthcare provider. based in Statesboro, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 062032 (GA). The NPI Number for ANGELA MARIE DAVIS (M.D.) is 1760689319

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA MARIE DAVIS (M.D.)
NPI
1760689319
Phone
(912) 489-4090
Address
12 MYRTLE LN
Enumeration Date
28 June 2007
Last Update Date
5 October 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9124894090
Graduation Year
2006 (20 years ago)
PAC ID
8628134251
Group Practice PAC ID
4082601299
Professional Enrollment ID
I20090306000321
Address ID
GA304610845ST23702EXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for ANGELA MARIE DAVIS (M.D.)

  • 12 MYRTLE LN

    STATESBORO, GA 304588506

    Phone: (912) 489-4090

    Type: Mailing

  • 23702 HWY 80 E

    STATESBORO, GA 304610845

    Phone: (912) 489-4090

    Fax: (912) 764-5028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $929.

Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Abbott Laboratories ($263).

Total Amount

$929

General + Research + Ownership

Payments

45

Total payment records

General Amount

$929

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-03-06

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
I20090306000321IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes616250$0
99213Established patient office or other outpatient visit, 20-29 minutes165108$0
G0444Annual depression screening, 5 to 15 minutes103103$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit101101$0
81001Manual urinalysis test with examination using microscope, automated5340$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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Provider's Procedures

ANGELA MARIE DAVIS (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA82270Stool analysis for blood to screen for colon tumors1212
FAMILY MEDICINEGA83036Hemoglobin A1C level4140
FAMILY MEDICINEGA85610Blood test, clotting time5622
FAMILY MEDICINEGA90670Pneumococcal vaccine for injection into muscle2323

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: 4082601299View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA

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Frequently asked questions

Is there an official ID for ANGELA MARIE DAVIS (M.D.) in U.S. healthcare records?
The official identifier for ANGELA MARIE DAVIS (M.D.) is NPI 1760689319.
Is ANGELA MARIE DAVIS (M.D.) shown as active in public data?
Registry records indicate ANGELA MARIE DAVIS (M.D.) maintains an active NPI.
How would a patient describe ANGELA MARIE DAVIS (M.D.)'s focus?
For ANGELA MARIE DAVIS (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ANGELA MARIE DAVIS (M.D.) associated with Statesboro?
Public fields place ANGELA MARIE DAVIS (M.D.) around Statesboro, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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