ALIA DAVIS (PA) – Physician Assistant, NPI 1235828039

ALIA DAVIS (PA) is a healthcare provider. based in Ruskin, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.PA.61433283 (WA). The NPI Number for ALIA DAVIS (PA) is 1235828039

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALIA DAVIS (PA)
NPI
1235828039
Phone
(727) 687-8446
Address
3102 CHRISTOPHERS WATCH LN
Enumeration Date
5 May 2023
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534288700
Graduation Year
2023 (3 years ago)
PAC ID
7012379522
Group Practice PAC ID
8022903384
Professional Enrollment ID
I20230816000485
Address ID
WA984055093TA1624XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for ALIA DAVIS (PA)

  • 3102 CHRISTOPHERS WATCH LN

    RUSKIN, FL 335703051

    Phone: (727) 687-8446

    Type: Mailing

  • 1624 S I ST STE 102

    TACOMA, WA 984055029

    Phone: (253) 428-8700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $7.

Total Amount is formed as General ($7) + Research ($0) + Ownership ($0) = $7.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Organon LLC ($7).

Total Amount

$7

General + Research + Ownership

Payments

1

Total payment records

General Amount

$7

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$7
View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230816000485IPhysician AssistantWATBD

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 33570)

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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: 8022903384View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Physician AssistantWA
Hematology/Oncology, Internal MedicineWA
Hematology/Oncology, Internal MedicineWA
Hematology/Oncology, Internal Medicine, Medical OncologyWA
Nurse PractitionerWA
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does ALIA DAVIS (PA) have a public NPI I can cite?
Public records show ALIA DAVIS (PA) under NPI 1235828039.
Is ALIA DAVIS (PA)'s NPI status active today?
Active status means ALIA DAVIS (PA)'s NPI record is not deactivated in the public file.
What type of care does ALIA DAVIS (PA) provide?
ALIA DAVIS (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit ALIA DAVIS (PA) in Ruskin, Florida?
For routing, start with Ruskin, Florida for ALIA DAVIS (PA), then verify phone and hours locally.
Who maintains ALIA DAVIS (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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