Active NPI
Andrea Davis, PA
- Physician Assistant
- Wetumka, OK
National Provider Identifier
1437567039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2399
- Practice address
- 120 E Broadway St
Box 236
Wetumka, OK 74883-4505 - Phone
- (405) 452-3151
- NPI assigned
- Jul 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2399 | OK | Primary |
Addresses
Primary practice location
120 E Broadway St
Box 236
Wetumka, OK 74883-4505
Mailing address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Other names 1
- Andrea Coy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2399 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1437567039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363402",
"telephone_number": "918-494-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E BROADWAY ST",
"address_2": "BOX 236",
"city": "WETUMKA",
"state": "OK",
"postal_code": "748834505",
"telephone_number": "405-452-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANDREA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-27",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "COY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wetumka, OK
- Roman Chowins, DMD
- Creek Nation Hospital & Clinics (Wetumka Health Dietitians)
- Creek Nation Hospital & Clinics (Wetumka Indian Health Center)
- Cari L Curtis, P.T.
- Cypress Place Living Center, LLC
- East Central Oklahoma Family Health Center, Inc. (ECO Family Health Center, Mobile Unit)
- East Central Oklahoma Family Health Center, Inc. (East Central Oklahoma Family Health Center, Inc. Pharmacy)
- Steffanee Renee Edwards, NP
- Sandra J Golden, MPH,BHRS
- Rebecca Helms, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.