Jennifer Starr Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9104207 Issued in FL

Practice address

10946 County Road 100
The Villages, FL 32162-3604

Phone

(352) 399-7295

Fax

(352) 399-7294

NPI assigned

Aug 8, 2007

Reactivated

Mar 6, 2019

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

Other identifiers 2

Other names 1

• Jennifer Starr Boyer Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliant Dermatology PAGroup PAC ID 9436305273, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Alliant Dermatology PA

  • Dermatology Physician
  • The Villages, FL
  • NPI 1619232501
  Medicare reassignment Care Compare group
• Brevard Emergency Services

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1104870393
  NPD (past)
• Cary L Dunn M D P a

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
  • NPI 1528023389
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1790976330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SE OCEAN BLVD STE 145",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963310",
            "telephone_number": "772-220-3339",
            "fax_number": "772-286-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10946 COUNTY ROAD 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623604",
            "telephone_number": "352-399-7295",
            "fax_number": "352-399-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "STARR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "deactivation_date": "2019-02-22",
        "reactivation_date": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4357",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9104207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE (BCBS OF FL)",
            "identifier": "Y04VT",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01165507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOYER",
            "middle_name": "STARR",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chinh Dang
• Daniel R. Spurrier, MD, PA (Central Florida Neurosurgical Clinic)
• Diann Rita David, OTR
• Tabitha Starr Davidson, NP
• Rachel Lynn Davies, PHD
• Julie Kay Davisson, APRN, PMHNP-BC
• Rosa De Carvalho, MD
• Duany De la Cruz, PT
• Deak-N-Hall, LLC
• Jordan Deboer, LCSW

• Physician Assistant in The Villages, FL
• Providers in The Villages, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.