DAVENPORT HEALTH PA
NPI 1962906115
Family Medicine in Waycross, GA

Q: What is Davenport Health PA's NPI number?

The NPI number for Davenport Health PA is 1962906115. It was assigned to this organization in the NPPES registry on March 22, 2018.

Q: What is Davenport Health PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 22, 2018

1401 CHEROKEE DRIVE, WAYCROSS, GA 31501(850) 251-1644 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Davenport Health Pa NPPES

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

DAVENPORT HEALTH PA (NPI 1962906115) is a healthcare organization registered as a family medicine in Waycross, Georgia and active in the NPI registry since March 2018. The organization lists Jeffrey Davenport, President/provider, as its authorized official.

NPPES Registry Identity

NPI1962906115

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDAVENPORT HEALTH PA

Location Address1401 CHEROKEE DRIVEWaycross, GA 31501

Mailing Address56 W. Main Street, Ste. 305Christiana, DE 19702 · (302) 273-2247 · Fax (302) 533-6818

Phone(850) 251-1644

Organization SubpartNo

Authorized OfficialJeffrey DavenportPresident/provider · (850) 251-1644

Enumeration DateMarch 22, 2018

✔ NPI 1962906115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 63574

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1401 CHEROKEE DRIVE, Waycross, GA 31501

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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

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 Davenport Health PA's NPI number?

The NPI number for Davenport Health PA is 1962906115. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Davenport Health PA located?

Davenport Health PA is located at 1401 Cherokee Drive, Waycross, GA 31501. The listed phone number is (850) 251-1644.

What is Davenport Health PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Davenport Health PA was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.