Brittany Taylor Davidson, PA-C
Individual provider Active NPI Physician Assistant · Pearisburg, VA
NPI 1104474618 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1104474618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110006866 (VA)
- Practice address
- 430 Boxwood LN
Pearisburg, VA 24134-1168 - Phone
- (540) 921-6110
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Giles Community Hospital
Practice addresses (Care Compare)
159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000
Hospital & facility affiliations
- Carilion Home Care Services
- Carilion Giles Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191120003011 | VA | Practitioner - Physician Assistant | 1951733468 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160829 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients |
Locations
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
Interoperability endpoints
- bbaskette119796@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1160829 | VA | |
| Physician Assistant | 363A00000X | 0110006866 | VA | Yes |
Addresses
Primary practice location
430 Boxwood LN
Pearisburg, VA 24134-1168
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbaskette119796@direct.carilionclinic.org |
Other providers in Pearisburg, VA
- Christopher Gary Cline
- Commonwealth of Virginia State Board of Health
- Cook Nutrition
- Emily R Cook
- D. L. Bowling, O.D., P.C.
- Kylene Davis
- Robert F. Devereaux
- Shannon Moye Douthat
- Christopher Eads
- Ahmed Elwan Mohamed Elhassanny
All providers in Pearisburg, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.