THERESA A DAVILA PA-C
NPI 1720211451
Physician Assistant in Greenwood, SC

Active since August 28, 2009PECOS EnrolledAccepts Medicare Assignment
1506 SPRING ST, GREENWOOD, SC 29646(864) 725-7900(864) 725-7910 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Jun 7, 2023, Sep 29, 2021 and 5 more (8 updates tracked since 2018).

About Theresa A Davila Pa-c NPPES

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

THERESA A DAVILA PA-C (NPI 1720211451) is an individual physician assistant in Greenwood, South Carolina, licensed in Illinois (085011269) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720211451
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA A DAVILACredential: PA-C
Location Address1506 SPRING STGreenwood, SC 29646-4071
Mailing Address12251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290 · (708) 923-4200 · Fax (708) 923-4201
Fax(864) 725-7910
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 28, 2009
Last NPPES UpdateJune 24, 20258 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1720211451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 085011269 Licensed in FL · PA9110282 Licensed in NH · 1544 Licensed in SC · 4837
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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1761 (TN)
1506 SPRING ST, Greenwood, SC 29646

Secondary Practice Locations 2

Location 13120 Waterman WayTavares, FL 32778-5252 · Phone (352) 343-1216 · Fax (352) 343-1582
Location 212251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290 · Phone (708) 923-4200 · Fax (708) 923-4201

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 and accepts Medicare assignment

Theresa A Davila Pa-c 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 ID7719023936
PECOS Enrollment IDI20230601002666
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services26 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 12

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

Physician Assistant
1506 SPRING ST
GREENWOOD, SC 29646
Podiatrist (Foot & Ankle Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Podiatrist (Foot & Ankle Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Nurse Practitioner (Acute Care)
1506 SPRING ST
GREENWOOD, SC 29646
Podiatrist (Foot & Ankle Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Physician Assistant (Surgical)
1506 SPRING ST
GREENWOOD, SC 29646

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 Theresa Davila's NPI number?

The NPI number for Theresa Davila is 1720211451. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Theresa Davila located?

Theresa Davila practices at 1506 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-7900.

What is Theresa Davila's specialty?

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

Is Theresa Davila enrolled in Medicare?

Yes. Theresa Davila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Davila accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Theresa Davila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Davila affiliated with any hospitals?

According to CMS data, Theresa Davila is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Theresa Davila was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.