JEFF DAVIS URGENT CARE
NPI 1134535305
Family Medicine in Hazlehurst, GA
About Jeff Davis Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF DAVIS URGENT CARE (NPI 1134535305) is a healthcare organization registered as a family medicine in Hazlehurst, Georgia and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Cathy Cason, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeff Davis Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Jeff Davis Urgent Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2082878
Jeff Davis Urgent Care · Hazlehurst, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeff Davis Urgent Care's NPI number?
The NPI number for Jeff Davis Urgent Care is 1134535305. It was assigned to this organization in the NPPES registry on July 8, 2014.
Where is Jeff Davis Urgent Care located?
Jeff Davis Urgent Care is located at 22 Cross St, Hazlehurst, GA 31539. The listed phone number is (912) 375-4484.
What is Jeff Davis Urgent Care's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeff Davis Urgent Care enrolled in Medicare?
Yes. Jeff Davis Urgent Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jeff Davis Urgent Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to Jeff Davis Urgent Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (4) and Psychiatry (3). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jeff Davis Urgent Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2082878) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jeff Davis Urgent Care was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeff Davis Urgent Care · NPI 1134535305
Family Medicine organization in Hazlehurst, Georgia. Organization record, active in the CMS NPPES registry since July 8, 2014.
## Identity
- **NPI:** 1134535305 (Entity type: Organization)
- **Enumerated:** July 8, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Hospital Authority Of Jeff Davis County Georgia)
- **Authorized official:** Cathy Cason, CFO
## Practice location
- **Address:** 22 CROSS ST, Hazlehurst, GA 31539-6426
- **Phone:** (912) 375-4484 · **Fax:** (912) 375-4881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (4), Psychiatry (3); 3 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1134535305/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134535305) · Data from the CMS NPPES public registry.