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DR. WOODLEY BERNADETTE MARDY-DAVIS M.D. NPI 1619188505


NPI Information

NPI: 1619188505
Provider Name: DR. WOODLEY BERNADETTE MARDY-DAVIS, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
12389 CRABAPPLE RD
ALPHARETTA, GA
ZIP 30004
Phone: (470) 299-1998
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DR. Woodley Bernadette Mardy-davis, M.D. is an interventional pain medicine pain medicine in Alpharetta, GA with 21 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Woodley Bernadette Mardy-davis, M.D. NPI is 1619188505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

12389 CRABAPPLE RD
ALPHARETTA, GA
ZIP 30004-328
Phone: (470) 299-1998

The NPI 1619188505 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80307)
  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 5/24/2007 and was last updated on 4/12/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology59463GEORGIANo
2207LA0401XAnesthesiologyAddiction Medicine59463GEORGIANo
3208VP0014XPain MedicineInterventional Pain Medicine059463GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13951183OTHERGEORGIACIGNA
252207649OTHERGEORGIABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.