NPIMap

Individual provider Active NPI

Jessica Davis, PA-C

  • Physician Assistant
  • Greensburg, PA
National Provider Identifier
1336515816
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057728 Issued in PA
Practice address
680 Pellis Rd Ste 1
Greensburg, PA 15601-4453
Phone
(724) 689-1970
Fax
(724) 689-1989
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA004353 PA
Physician Assistant 363A00000X MA057728 PA Primary

Addresses

Primary practice location

680 Pellis Rd Ste 1
Greensburg, PA 15601-4453

Mailing address

680 Pellis Rd Ste 1
Greensburg, PA 15601-4453
Phone (724) 689-1970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicadavis@emg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103000377 PA Practitioner - Physician Assistant 5991015059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-1197

532 W Pittsburgh St
Greensburg, PA 15601-2239

680 Pellis Rd
Greensburg, PA 15601-4453
Phone (724) 689-1970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057728PAMDPhysician Assistant
OA004353PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc PastSince Feb 23, 2025 Accepting new patients
Excela Health Physician Practices, Inc. PastSince Feb 23, 2025 Accepting new patients

Locations

680 Pellis Rd
Greensburg, PA 15601
Phone (724) 689-1970

680 Pellis Rd
Ste 1
Greensburg, PA 15601
Phone (724) 689-1970

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

8775 Norwin Ave
Ste A
North Huntingdon, PA 15642
Phone (724) 861-7901

8775 Norwin Ave
#A
North Huntingdon, PA 15642

Interoperability endpoints

  • Direct secure messaging: jessicadavis@emg.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1336515816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PELLIS RD STE 1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014453",
            "telephone_number": "724-689-1970",
            "fax_number": "724-689-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PELLIS RD STE 1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014453",
            "telephone_number": "724-689-1970",
            "fax_number": "724-689-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA004353",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicadavis@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "EH Ortho Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "680 Pellis Rd Ste 1",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156014453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.