Evan T Davies, PH.D., PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110005759 Issued in VA

Practice address

2296 Opitz Blvd Ste 230
Woodbridge, VA 22191-3345

Phone

(703) 878-0924

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roanoke Valley Healthcare Partners LLC 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28788/brand/1/csg/1/fhir/r4

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.

• Roanoke Valley Healthcare Partners, LLC

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1619274446

  VA

  Medicare reassignment Care Compare group
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Manassas, VA
  • NPI 1265871958

  DC

  Medicare reassignment NPD
• Washington Hospital Center Corp

  • Neurological Surgery Physician
  • Washington, DC
  • NPI 1407870124

  DC

  Medicare reassignment NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  DC

  Medicare reassignment
• Centers for Advanced Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1861221863

  VA

  Medicare reassignment
• Somnosleep Consultants LLC

  • Sleep Medicine (Otolaryngology) Physician
  • MC Lean, VA
  • NPI 1699558957

  DC

  Medicare reassignment
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chevy Chase, MD
  • NPI 1437579596
  NPD
• Washington Hospital Center Corp

  • General Practice Physician
  • Washington, DC
  • NPI 1629394424
  NPD
• Blue Ridge Healthcare Partners, LLC

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1518304955
  NPD (past)
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1326462144
  NPD (past)
• Primedocs PC

  • Family Medicine Physician
  • Falls Church, VA
  • NPI 1255035929
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265962385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 GUNSTON PLZ",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791897",
            "telephone_number": "703-878-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD STE 230",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913345",
            "telephone_number": "703-878-0924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Chain Bridge Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221014421",
            "country_code": "US",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14605 Potomac Branch Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913337",
            "country_code": "US",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "EVAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D., PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110005759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahmell Dash
• Harsh Datta, MD
• Havya Ankleshkumar Dave, M.D.
• Alicia Davenport
• Eric Davidson, DC
• Michelle Davila, AA, LMT
• Stephanie Barrett Davila, PMHNP
• Carlin P Davinsizer, PT
• Theresa Davis Lyon
• Jordyn Nichole Davis-Pope, LCSW

• All providers in Woodbridge, VA
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.