Amanda Sharon Webb-Davidson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP0011600 Issued in NJ

Practice address

300 Lexington Rd Ste 220
Suite 220 Building B
Swedesboro, NJ 08085-1278

Phone

(856) 241-2227

Fax

(856) 241-2110

NPI assigned

Jan 31, 2007

Last updated

Oct 20, 2010By the provider in NPPES

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 MD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1528105459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 ROUTE 45",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982803",
            "telephone_number": "856-241-2227",
            "fax_number": "856-241-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD STE 220",
            "address_2": "SUITE 220 BUILDING B",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-241-2227",
            "fax_number": "856-241-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB-DAVIDSON",
        "first_name": "AMANDA",
        "middle_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP0011600",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "CO4086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Villa, MA, BCB
• Kathryn Jill Ward, LCSW
• Abigail Lyn Ware, PA-C
• Jaclyn Paige Wasiluk, LPC
• Kaelin Krysteen Weaver
• Wedgewood Pharmacy LLC
• Wellness 51
• Kesha Abena Wilford, M.D.
• Amelle D Williams, MD
• Brooke Amber Wilson, LSW

• Physician Assistant in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.