DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BARTLETT EMORY DAVIS, PAC ATC

Active

MR. BARTLETT EMORY DAVIS, PAC ATC is a Physician Assistant healthcare provider located in VIDALIA, Georgia. NPI 1205058948 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · VIDALIA, GA

Registration Details

NPI Number
1205058948
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2007 (19.10136284906 yrs)
Last Updated
Mar 2, 2026
Licenses
AT00981 (GA)
209883 (AK)
1574 (GA)

Practice Information

Address
1707 MEADOWS LN
SUITE H
VIDALIA, GA, 304747200
Browse GA providers · Browse ZIP 30474
Phone
9125380040
Fax
9125388133
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in VIDALIA, GA

Name Credential NPI
MR. JAMES R PAYNE PA C 1114912524
MR. ARCHIE JOEL CHAMPION III PA-C 1710944681
MR. ALEX PIERCE PA 1225198823
DIANNE S MIXON PA-C 1245376573
ZACHARY JORDAN WHITAKER PA 1750649653
MRS. CANDICE STAPLETON PURVIS PA-C 1891132817
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.