PHILLIP DENNIS DAVIS (PA-C) – Physician Assistant, NPI 1124092192
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHILLIP DENNIS DAVIS (PA-C)
620 John Paul Jones Cir
Attn: Credentials/Staff Services
Portsmouth, VA 237082111
Phone: (757) 953-1897
Type: Location
Boulders Parkway, Chesterfield County, Virginia, 23225, United States
NORTH CHESTERFIELD, VA 232254067
Phone: (804) 560-5595
Fax: (804) 560-9029
Type: Mailing
1849, Old Donation Parkway, Wolfsnare Plantation, Virginia Beach, Virginia, 23454, United States
VIRGINIA BEACH, VA 23454
Phone: (757) 422-8476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Pharming Healthcare, Inc. ($125).
Total Amount
$201
General + Research + Ownership
Payments
2
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharming Healthcare, Inc. | $125 |
| Neurocrine BioSciences Inc. | $76 |
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: 2008-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080926000305 | I | Physician Assistant | VA | TBD |
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.
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 23708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA |
Reviews
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