Individual provider Active NPI

Sarah Davidson, MPAS, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1437578648
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
510 Med CT Ste 210
San Antonio, TX 78258-3484
Phone
(210) 494-4290
Fax
(210) 494-4809
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

510 Med CT Ste 210
San Antonio, TX 78258-3484

Mailing address

510 Med CT Ste 210
San Antonio, TX 78258-3484
Phone (210) 494-4290

Other practice location 1

2401 N Ed Carey Dr
Ste A
Harlingen, TX 78550-8205
Phone (956) 425-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171120003301 TX Practitioner - Physician Assistant 1658638002 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.davidson.1@20876.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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1437578648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MED CT STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583484",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MED CT STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583484",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 N Ed Carey Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508205",
            "country_code": "US",
            "telephone_number": "956-425-9181",
            "fax_number": "956-425-1262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.