JEREMIAH PAUL DAVIS PA
NPI 1700107018
Physician Assistant in Charlotte, NC

Q: What is Jeremiah Davis's NPI number?

The NPI number for Jeremiah Davis is 1700107018. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Q: What is Jeremiah Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Davis was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 June 21, 2010PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1237 HARDING PL, STE 3100, CHARLOTTE, NC 28204(704) 373-0212 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, Mar 15, 2023, Mar 6, 2023 and 25 more (28 updates tracked since 2018).

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About Jeremiah Paul Davis Pa NPPES

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

JEREMIAH PAUL DAVIS PA (NPI 1700107018) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-02638) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700107018

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJEREMIAH PAUL DAVISCredential: PA

Location Address1237 HARDING PL, STE 3100Charlotte, NC 28204

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 373-0212

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 21, 2010

Last NPPES UpdateMay 11, 202328 updates tracked since enumeration

✔ NPI 1700107018 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 NC · 0010-02638

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.

1237 HARDING PL, Charlotte, NC 28204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

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

Jeremiah Paul Davis Pa 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 ID4284859968

PECOS Enrollment IDI20170411001779

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

32 services32 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

25 services25 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

20 services20 patients

Coronary artery bypass using artery graft, 2 grafts 33534

A Coronary Artery Bypass with 2 grafts is a heart procedure. It involves taking healthy blood vessels from another part of your body and using them to bypass, or go around, blocked arteries in your heart. This helps improve blood flow to your heart.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

LAUREN MICHELLE RAMSEY PA

Physician Assistant

1237 HARDING PL, STE 4300
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

JOHN MICHAEL FEDOR MD

Internal Medicine (Cardiovascular Disease)