MR. GREGORY C. DAVIS (PA) – Physician Assistant, NPI 1033325741

MR. GREGORY C. DAVIS (PA) is a healthcare provider. based in Sunrise, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 004622 (GA). The NPI Number for MR. GREGORY C. DAVIS (PA) is 1033325741

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. GREGORY C. DAVIS (PA)
NPI
1033325741
Phone
(800) 424-3672
Address
14050 NW 14TH ST
Enumeration Date
16 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
5294621462
Group Practice PAC ID
0648340976
Professional Enrollment ID
I20241126003003
Address ID
CA957585948EL9045XRDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MR. GREGORY C. DAVIS (PA)

  • 14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States

    SUITE 190

    SUNRISE, FL 333232865

    Phone: (800) 424-3672

    Fax: (954) 377-3042

    Type: Mailing

  • Wellstar Atlanta Medical Center, 303, Parkway Drive Northeast, Sweet Auburn, Atlanta, Fulton County, Georgia, 30312, United States

    ER DEPT

    ATLANTA, GA 303121212

    Phone: (404) 265-4136

    Fax: (404) 265-3903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070706000531IPhysician AssistantGATBD
I20241126003003IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33323)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648340976View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantFL
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
General PracticeIL
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do I look up MR. GREGORY C. DAVIS (PA) by NPI?
Use NPI 1033325741 when you need to reference MR. GREGORY C. DAVIS (PA) in forms, claims, or directories.
Does this profile mean MR. GREGORY C. DAVIS (PA) is currently active?
Yes — MR. GREGORY C. DAVIS (PA) appears active in the national provider directory.
What does MR. GREGORY C. DAVIS (PA) treat or focus on?
Patients typically see MR. GREGORY C. DAVIS (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. GREGORY C. DAVIS (PA)?
The page summarizes Sunrise, Florida for MR. GREGORY C. DAVIS (PA); expand the address list for detail.
What if Sunrise, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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