MS. JILL DAVIS PA-C, RDN
NPI 1316044746
Physician Assistant - Medical in Statesboro, GA

Active since September 20, 2006PECOS Enrolled
3013 MCCALL BLVD, STATESBORO, GA 30461(912) 871-5000 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jill Davis Pa-c, Rdn NPPES

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

MS. JILL DAVIS PA-C, RDN (NPI 1316044746) is an individual medical provider in Statesboro, Georgia, licensed in Georgia (11817) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316044746
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. JILL DAVISCredential: PA-C, RDN
Location Address3013 MCCALL BLVDStatesboro, GA 30461-4922
Mailing Address106 Briarwood RdStatesboro, GA 30458-2459 · (912) 871-5000
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1316044746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 11817
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 933665 (GA)
3013 MCCALL BLVD, Statesboro, GA 30461

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jill Davis Pa-c, Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316044746, enumerated as an "individual" on September 20, 2006.

The provider is located at 3013 MCCALL BLVD STATESBORO, GA 30461 and the phone number is (912) 871-5000.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.