MRS. KACIE AMANDA DAVIS PA NPI 1972970747

NPI Information

NPI: 1972970747
Provider Name: MRS. KACIE AMANDA DAVIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WIREGRASS CLINIC LLC

PECOS Registration: Yes

Address:
210 WESTSIDE DR
DOTHAN, AL
ZIP 36303
Phone: (334) 793-5074
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MRS. Kacie Amanda Davis, PA is a medical physician assistant in Dothan, AL with 9 years of experience. MRS. Kacie Amanda Davis, PA NPI is 1972970747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

210 WESTSIDE DR
DOTHAN, AL
ZIP 36303-928
Phone: (334) 793-5074

The NPI 1972970747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2015 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1801	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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