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STACY C. DAVIS MD PC
NPI 1295008498
Pediatrics in Augusta, GA

Active since February 17, 2012CLIA 11D1025255 · Waiver
1450 WINTER ST, AUGUSTA, GA 30904(706) 364-3371(706) 364-3380 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy C. Davis Md Pc NPPES

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

STACY C. DAVIS MD PC (NPI 1295008498) is a healthcare organization registered as a pediatrics in Augusta, Georgia and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Regina Hester, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295008498
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTACY C. DAVIS MD PC
Location Address1450 WINTER STAugusta, GA 30904-4708
Mailing Address1450 Winter StAugusta, GA 30904-4708 · (706) 364-3371
Phone(706) 364-3371
Fax(706) 364-3380
Organization SubpartNo
Authorized OfficialRegina HesterOffice Manager · (706) 364-3371
Enumeration DateFebruary 17, 2012
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1295008498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1450 WINTER ST, Augusta, GA 30904
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Other Identifiers 1

Medicaid000742948 EGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D1025255

Stacy Davis, MD, PC · Augusta, GA
Active · expires May 3, 2028
CLIA Number11D1025255
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorStacy C. Davis
Laboratory Phone(706) 364-3371
Laboratory LocationStacy Davis, MD, PC1450 Winter Street, Augusta, GA 30904
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. STACY C. DAVIS M.D.
Pediatrics
1450 WINTER ST
AUGUSTA, GA 30904
Richmond County (706) 364-3371

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 Stacy C. Davis MD PC's NPI number?

The NPI number for Stacy C. Davis MD PC is 1295008498. It was assigned to this organization in the NPPES registry on February 17, 2012.

Where is Stacy C. Davis MD PC located?

Stacy C. Davis MD PC is located at 1450 Winter St, Augusta, GA 30904. The listed phone number is (706) 364-3371.

What is Stacy C. Davis MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Stacy C. Davis MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1025255) is associated with this NPI, valid through May 3, 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 Stacy C. Davis MD PC was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.