Grey Davenport, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0006923 Issued in MD

Practice address

5215 Loughboro Rd NW Ste 200
Washington, DC 20016-2625

Phone

(202) 787-5601

NPI assigned

Mar 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Washington Orthopaedics and Sports Medicine, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chevy Chase, MD
  • NPI 1780628131

  DC

  Medicare reassignment NPD
• Washington Orthopaedics and Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Washington, DC
  • NPI 1275292203
  NPD

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1477970085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162625",
            "telephone_number": "202-787-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162625",
            "telephone_number": "202-787-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 K St NW Ste 516",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061003",
            "country_code": "US",
            "telephone_number": "202-833-1147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Wisconsin Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156949",
            "country_code": "US",
            "telephone_number": "301-657-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "GREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031504",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Michelle Davenport
• Carl Davenport II
• Denisha Davenport, LGPC
• Diana Jewel Davenport, OTR/L
• Elizabeth Davenport, MPH, RDN, LD, CEDS
• Janay Adele Davenport
• Juan Roberto Davenport
• Mary Gwen Davenport IX
• Nancy J. Davenport, MD, PHD, FACC
• Takaboom Tiera Davenport, HHA

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.

Verify at the official NPI Registry.