Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MACKENZIE GAYLE DAVIS PA-C
NPI 1619875507
Physician Assistant in Bloomfield Township, MI

Active since October 29, 2026
4050 W MAPLE RD STE 101, BLOOMFIELD TOWNSHIP, MI 48301(248) 885-8211 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mackenzie Gayle Davis Pa-c NPPES

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

MACKENZIE GAYLE DAVIS PA-C (NPI 1619875507) is an individual physician assistant in Bloomfield Township, Michigan, licensed in Michigan (5601014287) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1619875507
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE GAYLE DAVISCredential: PA-C
Location Address4050 W MAPLE RD STE 101Bloomfield Township, MI 48301-3118
Mailing Address4050 W Maple Rd Ste 101Bloomfield Township, MI 48301-3118 · (248) 885-8211
Sole ProprietorNo
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1619875507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601014287
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.
4050 W MAPLE RD STE 101, Bloomfield Township, MI 48301

Other Providers at the Same Location NPPES 9

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

Physician Assistant
4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI 48301
Nurse Practitioner (Family)
4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI 48301
Physician Assistant
4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI 48301
Nurse Practitioner (Family)
4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI 48301
Physician Assistant
4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI 48301
Physician Assistant (Medical)
4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI 48301
Physician Assistant (Medical)
4050 W MAPLE RD STE 101
BLOOMFIELD TOWNSHIP, MI 48301
Nurse Practitioner (Primary Care)
4050 W MAPLE RD STE 101
BLOOMFIELD TOWNSHIP, MI 48301

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 Mackenzie Davis's NPI number?

The NPI number for Mackenzie Davis is 1619875507. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Mackenzie Davis located?

Mackenzie Davis practices at 4050 W Maple Rd Ste 101, Bloomfield Township, MI 48301. The listed phone number is (248) 885-8211.

What is Mackenzie Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Davis was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.