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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLOS MANUEL DAVILA
NPI 1659197705
Physician Assistant in Jacksonville, FL

Active since November 22, 2024PECOS Enrolled
1697 KINGS RD STE 1, JACKSONVILLE, FL 32209(904) 478-5483(833) 918-2285 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Nov 22, 2024 (2 updates tracked since 2024).

About Carlos Manuel Davila NPPES

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

CARLOS MANUEL DAVILA (NPI 1659197705) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659197705
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARLOS MANUEL DAVILA
Location Address1697 KINGS RD STE 1Jacksonville, FL 32209-6169
Mailing Address1697 Kings Rd Ste 1Jacksonville, FL 32209-6169 · (904) 478-5483 · Fax (833) 918-2285
Phone(904) 478-5483
Fax(833) 918-2285
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 22, 2024
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1659197705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1697 KINGS RD STE 1, Jacksonville, FL 32209
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Manuel Davila is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567926900
PECOS Enrollment IDI20260715005178
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

CASEY MOORE APRN
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483
MS. DAVITA NOELL SMITH FNP
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 982-0338
KATHLEEN ANNE NOLAN APRN
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483
PARETO POPULATION HEALTH MANAGEMENT PRACTICE PLLC
Family Medicine
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483

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 Carlos Davila's NPI number?

The NPI number for Carlos Davila is 1659197705. It was assigned to this individual provider in the NPPES registry on November 22, 2024.

Where is Carlos Davila located?

Carlos Davila practices at 1697 Kings Rd Ste 1, Jacksonville, FL 32209. The listed phone number is (904) 478-5483.

What is Carlos Davila's specialty?

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

Is Carlos Davila enrolled in Medicare?

Yes. Carlos Davila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Davila was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.