CALVIN P JR. DAVIS (PA) – Physician Assistant, NPI 1689628505

CALVIN P JR. DAVIS (PA) is a healthcare provider. based in Medina, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.001487RX (OH). The NPI Number for CALVIN P JR. DAVIS (PA) is 1689628505

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
CALVIN P JR. DAVIS (PA)
NPI
1689628505
Phone
(866) 266-8189
Address
1000 E Washington St
Enumeration Date
22 May 2006
Last Update Date
16 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306684085
Graduation Year
2000 (26 years ago)
PAC ID
1658260344
Group Practice PAC ID
6507934015
Professional Enrollment ID
I20040311000886
Address ID
OH443338392AK3975XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for CALVIN P JR. DAVIS (PA)

  • 1000 E Washington St

    Medina General Hospital

    Medina, OH 442562170

    Phone: (866) 266-8189

    Fax: (330) 654-9086

    Type: Location

  • PO BOX 72434

    CLEVELAND, OH 441920002

    Phone: (330) 668-7428

    Fax: (330) 666-2709

    Type: Mailing

  • 3975 EMBASSY PKWY STE 3

    AKRON, OH 443338320

    Phone: (330) 670-4242

    Fax: (330) 670-4241

    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: 2004-03-11

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
I20040311000886IPhysician AssistantOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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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: 6507934015View full group profile
NameSpecialtyState
Physician AssistantOH
Certified Clinical Nurse Specialist (Cns)ID
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Interventional Pain Management, Pain Management, Physical Medicine And Rehabilitation, Sports MedicineOH
Physician AssistantPA
Orthopedic SurgeryOH
-OH
Physician AssistantOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

How is CALVIN P JR. DAVIS (PA) identified in CMS data?
CMS-hosted NPPES data lists CALVIN P JR. DAVIS (PA) with NPI 1689628505.
Does the file indicate CALVIN P JR. DAVIS (PA) is practicing under active NPI?
Directory data currently reports CALVIN P JR. DAVIS (PA) as active.
What is CALVIN P JR. DAVIS (PA) best known for clinically?
Directory data describes CALVIN P JR. DAVIS (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CALVIN P JR. DAVIS (PA) based?
CALVIN P JR. DAVIS (PA) is tied to Medina, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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