DR. MANUEL A. DAVILA D.M.D.
NPI 1760496210
Dentist - Oral and Maxillofacial Surgery in Marietta, GA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
55 WHITCHER ST NE, SUITE 140, MARIETTA, GA 30060(770) 422-7630(770) 422-6017 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Manuel A. Davila D.m.d. NPPES

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

DR. MANUEL A. DAVILA D.M.D. (NPI 1760496210) is an individual oral and maxillofacial surgery provider in Marietta, Georgia, licensed in Georgia (10084) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1962).

NPPES Registry Identity

NPI1760496210
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MANUEL A. DAVILACredential: D.M.D.
Location Address55 WHITCHER ST NE, SUITE 140Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 140Marietta, GA 30060-1155 · (770) 422-7630 · Fax (770) 422-6017
Fax(770) 422-6017
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1962
Enumeration DateJuly 28, 2006
Last NPPES UpdateJanuary 5, 2016
✔ NPI 1760496210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · 10084
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
55 WHITCHER ST NE, Marietta, GA 30060

Other Identifiers 3

Medicaid00333737AGA
Medicare UPINT98234GA
Medicare ID-Type Unspecified19NCBCKGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manuel A. Davila D.m.d. 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 ID8022195254
PECOS Enrollment IDI20081105000675
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.

Medicare Billing Reassignment

Medicare enrollment records show Manuel Davila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

Internal Medicine (Nephrology)
55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060
Surgery
55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Critical Care Medicine)
55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060

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 Manuel Davila's NPI number?

The NPI number for Manuel Davila is 1760496210. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Manuel Davila located?

Manuel Davila practices at 55 Whitcher St NE Suite 140, Marietta, GA 30060. The listed phone number is (770) 422-7630.

What is Manuel Davila's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Manuel Davila enrolled in Medicare?

Yes. Manuel Davila 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.

Which organization bills Medicare for Manuel Davila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Davila reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). The 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 Manuel Davila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Davila accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health list Manuel Davila 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 Manuel Davila affiliated with any hospitals?

According to CMS data, Manuel Davila is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Davila was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.