Individual provider Active NPI

Chelsi Ganus Davis, PA-C

  • Surgical Physician Assistant
  • Jasper, AL
National Provider Identifier
1225692098
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.1877 Issued in AL
Practice address
1600 5TH Ave S
Jasper, AL 35501-4658
Phone
(205) 578-1799
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA.1877 AL Primary

Addresses

Primary practice location

1600 5TH Ave S
Jasper, AL 35501-4658

Mailing address

1600 5TH Ave S
Jasper, AL 35501-4658
Phone (205) 578-1799

Other practice location 1

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone (205) 578-1799

Other names 1

  • Chelsi Ganus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528000662 AL Practitioner - Physician Assistant 5597008912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shades Valley Dermatology, LLCGroup PAC ID 4688966302, 2 clinicians

Practice addresses (Care Compare)

1600 5TH Ave S
Jasper, AL 35501-4658
Phone (205) 578-1799

813 Shades Creek Pkwy
Suite 205
Birmingham, AL 35209-4512
Phone (205) 578-1799

Merit-based Incentive Payment System (MIPS)

Final score
93.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.14

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as group
Quality
57.57
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.3 of 100Reported as group
Quality
98.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.1877ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chelsid@shadesvalley.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1225692098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 5TH AVE S",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014658",
            "telephone_number": "205-578-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 5TH AVE S",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014658",
            "telephone_number": "205-578-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Montgomery Hwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352162750",
            "country_code": "US",
            "telephone_number": "205-578-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHELSI",
        "middle_name": "GANUS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSI",
            "last_name": "GANUS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.