MR. BARTLETT EMORY DAVIS PAC ATC
NPI 1205058948
Physician Assistant in Vidalia, GA

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1707 MEADOWS LN, SUITE H, VIDALIA, GA 30474(912) 538-0040(912) 538-8133 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, May 19, 2021 (2 updates tracked since 2021).

About Mr. Bartlett Emory Davis Pac Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BARTLETT EMORY DAVIS PAC ATC (NPI 1205058948) is an individual physician assistant in Vidalia, Georgia, licensed in Georgia (1574) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hosptial, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205058948
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BARTLETT EMORY DAVISCredential: PAC ATC
Location Address1707 MEADOWS LN, SUITE HVidalia, GA 30474-7200
Mailing AddressPo Box 1793Vidalia, GA 30475-1793 · (912) 538-9033
Fax(912) 538-8133
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateMay 3, 2007
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1205058948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 1574 Licensed in AK · 209883
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT00981 (GA)
1707 MEADOWS LN, Vidalia, GA 30474

Secondary Practice Locations 2

Location 112 Doctors StMetter, GA 30439 · Phone (912) 685-5741
Location 210 Doctors StMetter, GA 30439-3337 · Phone (912) 685-5741

Other Identifiers 4

Other01075299GA · Amerigroup
Medicaid1740483AK
Medicaid450809077BGA
Medicaid450809077CGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Bartlett Emory Davis Pac Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961594940
PECOS Enrollment IDI20251209001991
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sheridan Memorial Hosptial

Critical Access Hospitals · Plentywood, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271322
Location440 W Laurel AvePlentywood, MT 59254 · Sheridan County
Emergency services

Clark Fork Valley Hospital

Critical Access Hospitals · Plains, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271323
Location10 Kruger RdPlains, MT 59859 · Sanders County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474
Orthopaedic Surgery
1707 MEADOWS LN, SUITE H
VIDALIA, GA 30474
Internal Medicine (Hematology & Oncology)
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474
Internal Medicine (Pulmonary Disease)
1707 MEADOWS LN, SUITE E
VIDALIA, GA 30474
Nurse Practitioner
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474

Frequently 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 Bartlett Davis's NPI number?

The NPI number for Bartlett Davis is 1205058948. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Bartlett Davis located?

Bartlett Davis practices at 1707 Meadows Ln Suite H, Vidalia, GA 30474. The listed phone number is (912) 538-0040.

What is Bartlett Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bartlett Davis enrolled in Medicare?

Yes. Bartlett Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bartlett Davis accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Bartlett Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bartlett Davis affiliated with any hospitals?

According to CMS data, Bartlett Davis is affiliated with Sheridan Memorial Hosptial and Clark Fork Valley Hospital.

When was this NPI record last updated?

The NPPES record for Bartlett Davis was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.