BELLAMY CLARISSA DAVIS (PAC) – Medical Physician Assistant, NPI 1649775412
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for BELLAMY CLARISSA DAVIS (PAC)
817 Princeton Ave SW
POB 2-118
Birmingham, AL 352111340
Phone: (205) 930-0920
Fax: (205) 445-0115
Type: Location
985 9th Ave SW Ste 408
Bessemer, AL 350227809
Phone: (205) 930-0920
Fax: (205) 445-0115
Type: Location
2000 6th Ave S
Birmingham, AL 352332110
Phone: (205) 934-9999
Type: Location
Independence Drive, Southwood, Homewood, Jefferson County, Alabama, United States
HOMEWOOD, AL 352095603
Phone: (205) 930-0920
Fax: (205) 445-0151
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $2,826.
Total Amount is formed as General ($2,826) + Research ($0) + Ownership ($0) = $2,826.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($621).
Total Amount
$2,826
General + Research + Ownership
Payments
126
Total payment records
General Amount
$2,826
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $621 |
| Antares Pharma, Inc. | $386 |
| Bayer Healthcare Pharmaceuticals Inc. | $262 |
| Janssen Biotech, Inc. | $210 |
| TOLMAR, INC. | $140 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180810001964 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 8,702 | 18 | $0 |
| 81003 | Automated urinalysis test | 124 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 90 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 98 | 79 | $0 |
Insurance plans in this area (ZIP 35211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | TX | |
| - | AL | |
| A N E S T H E S I O L O G Y | AL | |
| E N D O C R I N O L O G Y | VA | |
| Nurse Practitioner | AL | |
| - | AL | |
| Hospitalist, Internal Medicine | AL | |
| Clinical Psychologist | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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