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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM J. DAVANZO, M.D., P.C.
NPI 1639150790
Specialist in Albany, GA

Active since November 07, 2005
417 W 3RD AVE, ALBANY, GA 31701(229) 312-1000 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William J. Davanzo, M.d., P.c. NPPES

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

WILLIAM J. DAVANZO, M.D., P.C. (NPI 1639150790) is a healthcare organization registered as a specialist in Albany, Georgia and active in the NPI registry since November 2005. The organization maintains a secondary practice location in Leesburg and lists William James Davanzo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639150790
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILLIAM J. DAVANZO, M.D., P.C.
Location Address417 W 3RD AVEAlbany, GA 31701-1943
Mailing Address145 Quail Pines DrLeesburg, GA 31763-5364 · (912) 258-4923
Phone(229) 312-1000
Organization SubpartNo
Authorized OfficialWilliam James DavanzoCeo · (912) 258-4923
Enumeration DateNovember 7, 2005
Last NPPES UpdateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1639150790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 050009
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
417 W 3RD AVE, Albany, GA 31701
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Secondary Practice Location 1

Location 1145 Quail Pines DrLeesburg, GA 31763-5364 · Phone (912) 258-4923

Other Identifiers 4

Medicaid000919234JGA
Medicaid000919234HGA
OtherDB1236GA · Railroad Medicare
Medicaid000919234IGA

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

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.

DR. ENRIQUE PATRICK LOPEZ M.D.
Surgery (Surgical Critical Care)
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-1000
RHONDA JEANNEAN HAYNES FNP
Nurse Practitioner (Acute Care)
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-1000
AYODEJI AKADIRI MD
Emergency Medicine
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-1000
SUSAN HARDIE LPC
Counselor (Professional)
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-7001
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
Ambulance (Land Transport)
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-4268
AMBER NICOLE BRODBECK
Registered Nurse (Neonatal Intensive Care)
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-1000
DR. KYLE W JOHNSON DO
Emergency Medicine
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 312-1000
DR. ANDREW GEORGE MISULIA MD
Emergency Medicine
417 W 3RD AVE
ALBANY, GA 31701
Dougherty County (229) 317-2207

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 William J. Davanzo, M.D., P.C.'s NPI number?

The NPI number for William J. Davanzo, M.D., P.C. is 1639150790. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is William J. Davanzo, M.D., P.C. located?

William J. Davanzo, M.D., P.C. is located at 417 W 3rd Ave, Albany, GA 31701. The listed phone number is (229) 312-1000.

What is William J. Davanzo, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for William J. Davanzo, M.D., P.C. was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.