Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey P. Davenport, MD

Individual provider Family Medicine Physician · NPI 1528204989

Jeffrey P. Davenport, MD is a Family Practice in Blackshear, Georgia. Graduated from Florida State University College of Medicine in 2006, 20 years ago. Practices with St Tammany Emergency Physicians Group LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Georgia and Louisiana.

Years since qualifying
20
Trained at
Florida State University College of Medicine
Licensed in
GA, LA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Carter Ave Blackshear Family Practice
Blackshear, GA 31516
Phone: (912) 449-4426
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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 339722 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2944 (GA)

Record details

NPI number1528204989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Tammany Emergency Physicians Group Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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