Individual provider Active NPI

Amanda D Davis, PA

  • Surgical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1700028602
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3760 Issued in AZ
Practice address
1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160
Phone
(602) 582-5233
Fax
(623) 208-5075
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3760 AZ Primary
Physician Assistant 363A00000X 3760 AZ

Addresses

Primary practice location

1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090408000085 AZ Practitioner - Physician Assistant 9133276298 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

1100 S Dobson Rd
204 DHMG Agave Surgery Clinic Chandler
Chandler, AZ 85286-6157
Phone (602) 726-3606

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800

20236 N John Wayne Pkwy
Suite 100
Maricopa, AZ 85139-2911
Phone (520) 518-7510

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

6343 S Higley Rd
Gilbert, AZ 85298-4339
Phone (480) 748-2712

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9241 E Cadence Pkwy
Suite 101
Mesa, AZ 85212-0021
Phone (480) 626-7203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Jun 15, 2015 Accepting new patients
Emergency Room Associates Limited Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Ste 450
Gilbert, AZ 85234
Phone (256) 466-0071

Interoperability endpoints

  • Direct secure messaging: amanda.davispac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 6

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1700028602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 204",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "602-582-5233",
            "fax_number": "623-208-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3760",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.