AMANDA DAVIS
NPI 1316528326
Counselor - Professional in Jacksonville, NC

Q: What is Amanda Davis's NPI number?

The NPI number for Amanda Davis is 1316528326. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Amanda Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Davis was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment

3886 HENDERSON DR, JACKSONVILLE, NC 28546(910) 938-9833 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Dec 17, 2024, Apr 20, 2021 (3 updates tracked since 2021).

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About Amanda Davis NPPES

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

AMANDA DAVIS (NPI 1316528326) is an individual professional provider in Jacksonville, North Carolina, licensed in North Carolina (15541) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316528326

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMANDA DAVIS

Location Address3886 HENDERSON DRJacksonville, NC 28546-5219

Mailing Address1732 Chadwick Shores DrSneads Ferry, NC 28460-9282

Phone(910) 938-9833

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 20, 2021

Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1316528326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 15541

3886 HENDERSON DR, Jacksonville, NC 28546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Davis 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 ID3779936448

PECOS Enrollment IDI20240130000021

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pride In North Carolina, LLC

1.0 mi

Community/Behavioral Health

110-B BRANCHWOOD DRIVE
Jacksonville, NC 28546

Reassigned Medicare billing, North Carolina enrollment
48 clinicians in this Medicare group

NPI 1821136581 (910) 938-9833

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARINA LOUISE HARRISON LCSWA

Social Worker (Clinical)