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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: October 18, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William J. Davanzo, M.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to William J. Davanzo, M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

William Davanzo, M.D.
Nephrology
NPI 1598947970
417 W 3RD AVE
Albany, GA 31701
(229) 312-1000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is William J. Davanzo, M.D., P.C. enrolled in Medicare?

Yes. William J. Davanzo, M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William J. Davanzo, M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to William J. Davanzo, M.D., P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does William J. Davanzo, M.D., P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list William J. Davanzo, M.D., P.C. 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.

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 3 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.