AMELIA LAYNE DAVIDSON MD
NPI 1174412977
Surgery - Plastic and Reconstructive Surgery in Saint Louis, MO
About Amelia Layne Davidson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMELIA LAYNE DAVIDSON MD (NPI 1174412977) is an individual plastic and reconstructive surgery provider in Saint Louis, Missouri, licensed in Missouri (2025025876) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amelia Layne Davidson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amelia Davidson's NPI number?
The NPI number for Amelia Davidson is 1174412977. It was assigned to this individual provider in the NPPES registry on June 28, 2025.
Where is Amelia Davidson located?
Amelia Davidson practices at 1 Parkview Pl, Saint Louis, MO 63110. The listed phone number is (919) 345-0866.
What is Amelia Davidson's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Amelia Davidson enrolled in Medicare?
Yes. Amelia Davidson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amelia Davidson was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amelia Layne Davidson, MD · NPI 1174412977
Plastic and Reconstructive Surgery physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 28, 2025.
## Identity
- **NPI:** 1174412977 (Entity type: Individual)
- **Enumerated:** June 28, 2025
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 2025025876 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PARKVIEW PL, Saint Louis, MO 63110-1038
- **Phone:** (919) 345-0866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174412977) · Data from the CMS NPPES public registry.