PATRICK DAVIDSON PA-C
NPI 1063601839
Physician Assistant - Medical in Saint Marys, GA

NPI Status: Active since October 17, 2007

Contact Information

314 MILLERS BRANCH DR
SAINT MARYS, GA
ZIP 31558
Phone: (774) 413-0331

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About PATRICK DAVIDSON

This page provides the complete NPI Profile along with additional information for Patrick Davidson, a primary care provider established in Saint Marys, Georgia with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1063601839 assigned on October 2007. The practitioner's primary taxonomy code is 363AM0700X with license number 6112 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1063601839
Provider Name
PATRICK DAVIDSON PA-C
Gender
Male
Entity Type
Individual
Location Address
314 MILLERS BRANCH DR SAINT MARYS, GA 31558
Location Phone
(774) 413-0331
Mailing Address
314 MILLERS BRANCH DR SAINT MARYS, GA 31558
Mailing Phone
(774) 413-0331
Is Sole Proprietor?
Yes
Enumeration Date
10-17-2007
Last Update Date
11-28-2018
Code Navigator

A primary care provider (PCP) like Patrick Davidson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 150 Ansel Hallet Rd Suite A
    West Yarmouth, MA 02673
    (508) 771-4263

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6112
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

2389 (MA)
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

2389 (MA)

Medicare Participation & PECOS Enrollment Status

Patrick Davidson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063601839, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 0 + 2 + 8 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063601839.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063601839, enumerated as an "individual" on October 17, 2007.

The provider is located at 314 MILLERS BRANCH DR SAINT MARYS, GA 31558 and the phone number is (774) 413-0331.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.