MRS. PAMELA B DAVIS (NPI# 1508877416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508877416 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA B DAVIS |
| Credential | PA-C |
| Practice Address |
1627 Old Gray Station Rd Ste 4 Johnson City TN 37615-4193 |
| Practice Telephone | 4232823376 |
| Practice Fax Number | 4237918388 |
| Mailing Telephone | 4232823376 |
| Mailing Fax Number | 4237918388 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0000001328 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q037847 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588132 | Pamela Sue Davis | Adult Companion | 128 Matthew Dr, Rittman, OH 44270-2002 | 2020-11-03 |
| 1760944904 | Pamela Renee Davis | Social Worker | 321 E Erwin St, Rialto, CA 92376-6018 | 2019-04-05 |
| 1336681691 | Pamela Jean Davis | Counselor | 100 Cade Ter, Warner Robins, GA 31088-1680 | 2016-11-17 |
| 1881064608 | Pamela Davis | Speech-Language Pathologist | 265 Dorchester Rd, Akron, OH 44313-7846 | 2015-10-06 |
| 1467820415 | Pamela Davis | Registered Nurse | 115 Ellison Dr, Milton, DE 19968-1335 | 2015-09-08 |
| 1982032777 | Pamela Davis | Internal Medicine | 8676 E Larkspur Dr, Scottsdale, AZ 85260-5331 | 2013-10-15 |
| 1851632921 | Pamela E Davis | Registered Nurse | 5205 Englewood Dr, Liberty Twp, OH 45011-1163 | 2013-03-13 |
| 1558620914 | Pamela Yvette Davis | Developmental Therapist | 1801 London Crest Drive Apt 137, Orlando, FL 32818 | 2012-05-04 |
| 1780907238 | Pamela G Davis | Nurse Practitioner | 281 Paradise Ln, Jacksboro, TN 37757-3931 | 2010-03-11 |
| 1225365059 | Pamela Ann Davis | Social Worker | 2849 Nighthawk Dr, Mesquite, TX 75181-4966 | 2009-11-16 |
| Street Address |
1627 OLD GRAY STATION RD STE 4 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37615-4193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083965651 | Shalena Peterson | Physician Assistant | 301 Med Tech Pkwy Ste 280, Johnson City, TN 37604-2364 | 2012-09-24 |
| 1063544716 | Christine Turbyfill Kinley | Physician Assistant | 3741 W Market St, Johnson City, TN 37604 | 2007-03-09 |
| 1437166477 | Thomas Alan Frantzen | Physician Assistant | Corner of Sidney and Lamont Streets, Johnson City, TN 37684-4000 | 2006-08-02 |
| 1700828977 | Melvin James Willis | Physician Assistant | James H Quillen/va Medical Center, Coner of Sidney & Lamont, Johnson City, TN 37684 | 2006-06-12 |
| 1902888944 | Bryan Daniel Lorch | Physician Assistant | 2514 Wesley St, 102, Johnson City, TN 37601-1764 | 2005-11-16 |
| 1386268159 | James Owen Thigpen | Physician Assistant | 410 N State of Franklin Rd Ste 130, Johnson City, TN 37604-6972 | 2020-06-08 |
| 1841814803 | Anthony Brian Jones | Physician Assistant | 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 | 2020-06-04 |
| 1790319317 | Frances Wilson | Physician Assistant | 401 E Watauga Ave, Johnson City, TN 37601-4036 | 2020-02-24 |
| 1841741196 | Grace Internal Medicine, LLC | Physician Assistant | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2016-10-21 |
| 1528482924 | Erin Douglas | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2014-02-06 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37615 |
Please comment or provide details below to improve the information on MRS. PAMELA B DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.