ANDREW JEREMIAH DAVIDSON STUDENT
NPI 1871047639
Physician Assistant in Camp Lejeune, NC

Q: What is Andrew Davidson's NPI number?

The NPI number for Andrew Davidson is 1871047639. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Q: What is Andrew Davidson'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 Andrew Davidson was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 10, 2016PECOS Enrolled

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(214) 668-9607 Get Directions Write a Review

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

Record update history: Mar 11, 2026, Dec 4, 2025, Nov 22, 2016 and 1 more (4 updates tracked since 2016).

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About Andrew Jeremiah Davidson Student NPPES

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

ANDREW JEREMIAH DAVIDSON STUDENT (NPI 1871047639) is an individual physician assistant in Camp Lejeune, North Carolina and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871047639

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANDREW JEREMIAH DAVIDSONCredential: STUDENT

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address6232 Mississippi StCamp Lejeune, NC 28547-2532 · (214) 668-9607

Phone(214) 668-9607

Sole ProprietorNo

Enumeration DateAugust 10, 2016

Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1871047639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedMilitary Health Care Provider · Independent Duty CorpsmanTaxonomy 1710I1002X · License 23588888 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 23588888 (NC)

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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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)

Andrew Jeremiah Davidson Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28547 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.

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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine