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DR. EVAN T DAVIES PH.D., PA-C
NPI 1265962385
Physician Assistant - Surgical in Woodbridge, VA

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
2296 OPITZ BLVD STE 230, WOODBRIDGE, VA 22191(703) 878-0924 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 30, 2021, May 1, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Evan T Davies Ph.d., Pa-c NPPES

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

DR. EVAN T DAVIES PH.D., PA-C (NPI 1265962385) is an individual surgical provider in Woodbridge, Virginia, licensed in Virginia (0110005759) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265962385
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDR. EVAN T DAVIESCredential: PH.D., PA-C
Location Address2296 OPITZ BLVD STE 230Woodbridge, VA 22191-3345
Mailing Address7740 Gunston PlzLorton, VA 22079-1897 · (703) 878-0924
Phone(703) 878-0924
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1265962385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in VA · 0110005759
2296 OPITZ BLVD STE 230, Woodbridge, VA 22191
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Secondary Practice Locations 2

Location 114605 Potomac Branch Dr Ste 300Woodbridge, VA 22191-3337 · Phone (703) 490-1112 · Fax (703) 878-8735
Location 21515 Chain Bridge Rd Ste 202Mc Lean, VA 22101-4421 · Phone (703) 490-1112 · Fax (703) 878-8735

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

Dr. Evan T Davies Ph.d., Pa-c 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 ID2365714573
PECOS Enrollment IDI20170823002697
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY D THOMPSON PA-C
Physician Assistant
2296 OPITZ BLVD STE 230
WOODBRIDGE, VA 22191
Prince William County (703) 878-0924

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 Evan Davies's NPI number?

The NPI number for Evan Davies is 1265962385. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Evan Davies located?

Evan Davies practices at 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191. The listed phone number is (703) 878-0924.

What is Evan Davies's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Evan Davies enrolled in Medicare?

Yes. Evan Davies 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.

When was this NPI record last updated?

The NPPES record for Evan Davies was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.