Dr. P. Carl Davidson , MD
Ophthalmology • Summerville, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. P. Davidson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. P. Davidson, MD was a registered Ophthalmology in Summerville, GA. Prior to record deactivation on 2008-09-17, Dr. Davidson completed approximately 25 years of clinical practice following graduation from Johns Hopkins University School Of Medicine in 1983.
Dr. Davidson accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
10366 Commerce St
Summerville, GA 307471471
Medicare Profile & Education
Johns Hopkins University School Of Medicine
1983
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Ophthalmology in Summerville, GA
Practicing in Summerville, GA (579 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
507 | 507 | $127.63 | $118.69 |
|
92012
Established patient problem focused exam of visual system
|
287 | 216 | $93.65 | $83.69 |
|
92004
New patient complete exam of visual system
|
89 | 89 | $151.83 | $139.79 |
|
92133
Imaging of optic nerve
|
66 | 66 | $150.00 | $34.52 |
|
92083
Exam of visual field with extended testing
|
64 | 63 | $121.88 | $58.23 |
|
92082
Exam of visual field with intermediate testing
|
18 | 18 | $100.00 | $43.09 |
|
66821
Removal of recurring cataract in lens capsule using a laser
|
15 | 15 | $403.33 | $311.64 |
|
92002
New patient problem focused exam of visual system
|
12 | 12 | $89.50 | $81.07 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $116.50 | $107.60 |
|
76514
Ultrasound scan of cornea to determine thickness
|
11 | 11 | $50.00 | $10.31 |
Medical Specialties & State Licenses
CMS Verified: 2024-12-18NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Technician/Technologist - Optician
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 10366 COMMERCE ST, SUMMERVILLE, GA 307471471 (Tel: 7068577777)
Registered at 1403 CINDERELLA RD, LOOKOUT MOUNTAIN, GA 307502610 (Tel: 7069368300)
Registered at 109 JOHN MADDOX DR NW STE 230, ROME, GA 301651452 (Tel: 7062917360)
Registered at 109 JOHN MADDOX DR NW STE 230, ROME, GA 301651452 (Tel: 7062917360)
Record officially reactivated for active practice on September 30, 2008
Registered at 1013 NORTH FIFTH AVE., SUITE 3, ROME, GA 301652664 (Tel: 7062917360)
Registered at 1013 NORTH FIFTH AVE., SUITE 3, ROME, GA 301652664 (Tel: 7062917360)
Recorded as P. DAVIDSON, M.D.
Ophthalmology (License #029861 in GA)
Record deactivated on September 17, 2008
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1403 Cinderella Rd
Lookout Mountain, GA 307502610
Phone: 7069368300
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