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SHIRLEY DAVIS
NPI 1619314432
Assisted Living Facility - Assisted Living, Mental Illness in Waycross, GA

Active since June 03, 2013
1007 MARY ST, WAYCROSS, GA 31503(912) 449-7111(912) 449-7060 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley Davis NPPES

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

SHIRLEY DAVIS (NPI 1619314432) is a healthcare organization registered as an assisted living, mental illness in Waycross, Georgia and active in the NPI registry since June 2013. The organization lists Wendy Hughes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619314432
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSHIRLEY DAVIS
Location Address1007 MARY STWaycross, GA 31503-3823
Mailing Address3675 Albany AveWaycross, GA 31503-0769 · (912) 449-7100
Phone(912) 449-7111
Fax(912) 449-7060
Organization SubpartYesParent: Unison Behavioral Health
Authorized OfficialWendy HughesCfo · (912) 449-7111
Enumeration DateJune 3, 2013
✔ NPI 1619314432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1007 MARY ST, Waycross, GA 31503
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Other Providers at the Same Location NPPES 20

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

MISTY BURCHETTE
Counselor
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100
MELINDA ROZIER RN
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-8600
JACQUELINE DUNNOM LPN
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-8601
NATASHA WILLIAMS HERRIN LSCSW
Social Worker (Clinical)
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100
CHARLES E PRITCHETT LAPC
Counselor (Mental Health)
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100
ROBIN KAY DENISON LPN
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-8601
MARSHA KRIETE LPN
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-8600
SONYA LEE RN
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-8600

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 Shirley Davis's NPI number?

The NPI number for Shirley Davis is 1619314432. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Shirley Davis located?

Shirley Davis is located at 1007 Mary St, Waycross, GA 31503. The listed phone number is (912) 449-7111.

What is Shirley Davis's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Shirley Davis was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.