Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Davenport Health PA

Organization Family Medicine Physician · NPI 1962906115

Davenport Health PA provides Family Medicine Physician services in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Cherokee Dr
Waycross, GA 31501
Phone: (850) 251-1644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 63574 (GA)

Record details

NPI number1962906115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Davenport — President/Provider · (850) 251-1644
NPI enumeratedMarch 22, 2018
Last updated in NPPESMarch 22, 2018
Mailing address56 W. Main Street, Ste. 305, Christiana, DE 19702

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