ALISON DAVISON P.A.
NPI 1174558399
Physician Assistant in Carbondale, IL

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 19, 2020, Apr 24, 2020 (2 updates tracked since 2020).

About Alison Davison P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISON DAVISON P.A. (NPI 1174558399) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085-001876) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174558399
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISON DAVISONCredential: P.A.
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing AddressPo Box 955860Saint Louis, MO 63195-0126 · (636) 498-9444
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 12, 2006
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
NPI 1174558399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085-001876
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 085-001876 (IL)
405 W JACKSON ST, Carbondale, IL 62901

Secondary Practice Locations 2

Location 11441 W BroadwayCentralia, IL 62801-5613 · Phone (618) 532-9050
Location 21003 E McCord StCentralia, IL 62801-3345 · Phone (618) 436-6633

Other Identifiers 2

Other1055357Nccpa
Other3932056IL · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alison Davison P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274596747
PECOS Enrollment IDI20041105000329
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901

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 Alison Davison's NPI number?

The NPI number for Alison Davison is 1174558399. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Alison Davison located?

Alison Davison practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Alison Davison's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alison Davison enrolled in Medicare?

Yes. Alison Davison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alison Davison affiliated with any hospitals?

According to CMS data, Alison Davison is affiliated with Ssm Health St Mary's Hospital -Centralia and Good Samaritan Regional Hlth Center.

When was this NPI record last updated?

The NPPES record for Alison Davison was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.