Active NPI
Alexis N Davis, PA-C
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1275867640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900 - Phone
- (210) 614-0180
- Fax
- (210) 566-5698
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | KS | ||
| Physician Assistant | 363A00000X | TX | Primary |
Addresses
Primary practice location
8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900
Mailing address
8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900
Phone (210) 614-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811N67 | Other | TX | BCBSTX |
Other names 1
- Alexis Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130715000071 | TN | Practitioner - Physician Assistant | 4486795754 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Realm and Family Practice | Past | Accepting new patients | |
| Greater San Antonio Emergency Physicians, PA | Past | Accepting new patients | |
| Pluto Health Care, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/503552/r4
Organizations & group practices 4
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.
-
- Clinical & Laboratory Dermatological Immunology Physician
- Germantown, TN
- NPI 1265604888
TN
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1134184831
-
- Family Medicine Physician
- Germantown, TN
- NPI 1457751489
-
- Internal Medicine Physician
- Durham, NC
- NPI 1487364048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1275867640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-614-0180",
"fax_number": "210-615-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-614-0180",
"fax_number": "210-566-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALEXIS",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "811N67",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.