Individual provider Active NPI

Andrew Grant Davis, PA-C

  • Physician Assistant
  • Deerfield Beach, FL
National Provider Identifier
1326668989
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9114995 Issued in FL
Practice address
3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423
Phone
(951) 571-9500
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9114995 FL Primary

Addresses

Primary practice location

3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423

Mailing address

3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213001718 FL Practitioner - Physician Assistant 8628468311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

3313 W Hillsboro Blvd
Suite 202
Deerfield Beach, FL 33442-9423
Phone (561) 955-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
9114995FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Nov 15, 2021 Accepting new patients
Bocacare Inc CurrentSince Nov 15, 2021 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

745 Meadows Rd
Ste 101
Boca Raton, FL 33486
Phone (561) 955-6784

3313 W Hillsboro Blvd
Ste 202
Deerfield Beach, FL 33442
Phone (561) 955-4600

Interoperability endpoints

  • Direct secure messaging: andrew.davis.1@26289.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1326668989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD STE 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD STE 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429423",
            "telephone_number": "951-571-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "middle_name": "GRANT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.