Active NPI
Jordan Paul Davis
- Physician Assistant
- Royal Palm Beach, FL
National Provider Identifier
1255138228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9120174
- Practice address
- 9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640 - Phone
- (760) 586-3785
- NPI assigned
- Feb 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA9120174 | FL | Primary |
Addresses
Primary practice location
9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640
Mailing address
9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1620 Southern Blvd
West Palm Beach, FL 33406-3242
1643 NW 136 Ave
Sunrise, FL 33323-2857
930 Millbrae CT
West Palm Beach, FL 33401-8470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- West Palm Beach, FL
- NPI 1134728561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1255138228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 BELVEDERE RD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334113640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 BELVEDERE RD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334113640",
"telephone_number": "760-586-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JORDAN",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-27",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9120174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.