BRADLEY D DAVEY PA-AA NPI 1639390255

NPI Information

NPI: 1639390255
Provider Name: BRADLEY D DAVEY, PA-AA
Classification: Anesthesiologist Assistant - 367H00000X
Entity Type: Individual
Address:
777 HEMLOCK ST
MACON, GA
ZIP 31201
Phone: (866) 507-5244
Get Directions

Bradley D Davey, PA-AA is an anesthesiologist assistant in Macon, GA with 23 years of experience. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. Bradley D Davey, PA-AA NPI is 1639390255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 HEMLOCK ST
MACON, GA
ZIP 31201-102
Phone: (866) 507-5244
Fax: (855) 851-4405

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367H00000X	Anesthesiologist Assistant		003698	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	344298	OTHER	GEORGIA	WELLCARE CMO - MCCG
2	100001125A	MEDICAID	GEORGIA
3	P39073	MEDICARE UPIN	GEORGIA
4	100001125A	OTHER	GEORGIA	PEACHSTATE CMO - MCCG
5	97WCCVF	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MCCG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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