PROF. JOHN CHARLES SR. DAVIS (PA-C) – Physician Assistant, NPI 1073820072

PROF. JOHN CHARLES SR. DAVIS (PA-C) is a healthcare provider. based in Spring, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01488 (TX). The NPI Number for PROF. JOHN CHARLES SR. DAVIS (PA-C) is 1073820072

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
PROF. JOHN CHARLES SR. DAVIS (PA-C)
NPI
1073820072
Phone
(832) 526-5578
Address
4003 ALSHIRE DR
Enumeration Date
12 September 2010
Last Update Date
10 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814120508
Graduation Year
2013 (13 years ago)
PAC ID
0042432965
Group Practice PAC ID
3173697935
Professional Enrollment ID
I20141210002260
Address ID
TX775814915PE2705XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for PROF. JOHN CHARLES SR. DAVIS (PA-C)

  • 4003 ALSHIRE DR

    SPRING, TX 773738811

    Phone: (832) 526-5578

    Type: Mailing

  • 4003 Alshire Dr

    Spring, TX 773738811

    Phone: (832) 526-5578

    Type: Location

  • 7120 FM 1960 RD E

    HUMBLE, TX 773462702

    Phone: (281) 783-8162

    Type: Location

  • 2925 BRIARPARK DR STE 575

    HOUSTON, TX 770423776

    Phone: (832) 626-2842

    Fax: (832) 626-2842

    Type: Mailing

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: 2014-12-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141210002260IPhysician AssistantTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg30029$0
96372Injection of drug or substance under skin or into muscle6643$0
J0696Injection, ceftriaxone sodium, per 250 mg6618$0
99214Established patient office or other outpatient visit, 30-39 minutes6155$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 77373)

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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: 3173697935View full group profile

Reviews

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Frequently asked questions

What federal number belongs to PROF. JOHN CHARLES SR. DAVIS (PA-C)?
The federal identifier for PROF. JOHN CHARLES SR. DAVIS (PA-C) is NPI 1073820072.
Does this profile mean PROF. JOHN CHARLES SR. DAVIS (PA-C) is currently active?
Yes — PROF. JOHN CHARLES SR. DAVIS (PA-C) appears active in the national provider directory.
What kind of provider is PROF. JOHN CHARLES SR. DAVIS (PA-C)?
The page reflects Physician Assistant for PROF. JOHN CHARLES SR. DAVIS (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place PROF. JOHN CHARLES SR. DAVIS (PA-C)?
The snapshot lists Spring, Texas for PROF. JOHN CHARLES SR. DAVIS (PA-C); download NPPES for the complete set.
Is PROF. JOHN CHARLES SR. DAVIS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1073820072. Always confirm identity and privileges with the practice and licensing boards.

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