Beverly A Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3716 Melrose Ave NW
Roanoke, VA 24017

Phone

(540) 362-0360

Fax

(540) 362-1448

NPI assigned

Jan 5, 2012

Last updated

Jul 16, 2025By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• Tri Area Community Health

  dba Tri Area Community Health at Laurel Fork

  • Federally Qualified Health Center (FQHC)
  • Laurel Fork, VA
  • NPI 1346227584
  Medicare reassignment
• Tri Area Community Health

  dba Tri Area Community Health at Cana

  • Federally Qualified Health Center (FQHC)
  • Cana, VA
  • NPI 1134976186
  NPD
• Tri Area Community Health

  dba Tri Area Community Health at Grayson County Schools

  • Federally Qualified Health Center (FQHC)
  • Independence, VA
  • NPI 1891676300
  NPD

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1568732741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CONCORD CIR",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241512755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 MELROSE AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24017",
            "telephone_number": "540-362-0360",
            "fax_number": "540-362-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0110003783",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Davidson, PHARMD
• Thomas John Davidson IV, DPM
• Davis and McDaniel Veterans Care Center
• Alexander Davis, L. AC.
• Audrey K Davis, M.S., CCC-SLP
• Brittney Allison Davis, PHARMD
• Emily Davis, OTR
• Felicia Nicole Davis, LCSW
• Grantrina Antwunet Davis
• Haley Shannon Davis, COTA/L

• Physician Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.