MRS. PAMELA B DAVIS (PA-C) – Medical Physician Assistant, NPI 1508877416

MRS. PAMELA B DAVIS (PA-C) is a healthcare provider. based in Johnson city, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA0000001328 (TN). The NPI Number for MRS. PAMELA B DAVIS (PA-C) is 1508877416

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PAMELA B DAVIS (PA-C)
NPI
1508877416
Phone
(423) 282-3376
Address
1627 OLD GRAY STATION RD
Enumeration Date
10 August 2006
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232823376
Graduation Year
2005 (21 years ago)
PAC ID
6406855311
Group Practice PAC ID
5395092936
Professional Enrollment ID
I20061204000124
Address ID
TN376154194JO1627XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for MRS. PAMELA B DAVIS (PA-C)

  • 1627, Old Gray Station Road, Boones Creek, Johnson City, Washington County, East Tennessee, Tennessee, 37615, United States

    STE 4

    JOHNSON CITY, TN 376154193

    Phone: (423) 282-3376

    Fax: (423) 791-8388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,333.

Total Amount is formed as General ($1,333) + Research ($0) + Ownership ($0) = $1,333.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($435).

Total Amount

$1,333

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,333

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

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: 2006-12-04

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
I20061204000124IPhysician AssistantTNTBD

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 minutes7542$0
99212Established patient office or other outpatient visit, 10-19 minutes3020$0
17004Destruction of precancer skin growth, 15 or more growths2212$0
17000Destruction of precancer skin growth, 1 growth2013$0
View full utilization report →

Insurance plans in this area (ZIP 37615)

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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: 5395092936View full group profile
NameSpecialtyState
P A T H O L O G YAL

Reviews

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Frequently asked questions

How do payers reference MRS. PAMELA B DAVIS (PA-C)?
For MRS. PAMELA B DAVIS (PA-C), use NPI 1508877416 as the unique 10-digit identifier.
Is MRS. PAMELA B DAVIS (PA-C) still an active registrant?
MRS. PAMELA B DAVIS (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MRS. PAMELA B DAVIS (PA-C)?
MRS. PAMELA B DAVIS (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. PAMELA B DAVIS (PA-C)?
Travel planning: use Johnson City, Tennessee as the reference point for MRS. PAMELA B DAVIS (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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