Active NPI
Amanda D Davis, PA
- Surgical Physician Assistant
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Cancer Center Specialists LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Oncology Clinic/Center
- Phoenix, AZ
- NPI 1518253152
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770586869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.