Gina Davis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0007816 Issued in MD

Practice address

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311

Phone

(301) 891-2500

Fax

(301) 448-1679

NPI assigned

Feb 29, 2020

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Cardiovascular Institute, LLCGroup PAC ID 7517903982, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gina.davis.1@10710.direct.athenahealth.com

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.

• Washington Cardiovascular Institute LLC

  • Cardiovascular Disease Physician
  • Takoma Park, MD
  • NPI 1205835485

  DC

  Medicare reassignment Care Compare group
• Washington Vascular Specialists of Baltimore

  dba WVS Baltimore

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1346905437
  Medicare reassignment
• WVS Frederick ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
  • NPI 1386391332
  Medicare reassignment
• WVS Takoma Park LLC

  • Ambulatory Surgical Clinic/Center
  • Takoma Park, MD
  • NPI 1326746389

  DC

  Medicare reassignment
• Washington Cardiovascular Institute LLC

  • Podiatric Clinic/Center
  • Takoma Park, MD
  • NPI 1205605342
  NPD

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1821622747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GINA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fikirte Kassaye Damitew
• Michael D Darden, MD
• Yasmin A Dargaga
• Patrice Davenport
• Bobby Stanley David, M.D.
• DC Therapy, LLC (DC Therapy Solutions)
• Kidist Degaga
• Tanya Dekona, M.S., O.T./LICENSED
• Nelljean Dendy, LGPC
• Brian Deori, PA-C

• Physician Assistant in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.