NPI age
20 years
Enumerated 2005-11-07
● Active Type 2 · Organization
William J. Davanzo, M.d., P.c.
William J. Davanzo, M.d., P.c. is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davanzo
President
Last NPPES update
2015-05-26
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
143 Follins Ln
Saint Simons Island, GA 315224263
Mailing address
143 Follins Ln
Saint Simons Island, GA 315224263
Authorized official
William James Davanzo, M.D.
President
📞 9126347714
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Robert Bryan, MD Family Medicine NPI 1609090141
Specialties
-
Specialist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000919234J | |
| 05 (GA) | 000919234H | |
| 01 (GA) | DB1236 | RAILROAD MEDICARE |
| 05 (GA) | 000919234I |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.