Provider Demographics
NPI:1811989411
Name:DAVIS, MARGARET ALISA (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALISA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISA
Other - Middle Name:DAVIS
Other - Last Name:ALLAIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-533-4786
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:678-207-4373
Practice Address - Fax:770-533-4727
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039033207P00000X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA01357688OtherAMERIGROUP
GA000661152HMedicaid
GA5095745OtherAETNA
GA000661152GMedicaid
GA000661152MMedicaid
GA000661152FMedicaid
GA52575335OtherBCBS
GA6830817OtherCIGNA
GA000661152DMedicaid
GA000661152EMedicaid
GA1811989411OtherUNITED HEALTHCARE
GA325763OtherWELLCARE
GA01357686OtherAMERIGROUP