Individual provider Active NPI

Cory Dawn Davis, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1821788563
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10710 Issued in AZ
Practice address
5670 N Professional Park Dr Ste 100
Tucson, AZ 85704-7821
Phone
(520) 618-1010
Fax
(520) 784-7040
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10710 AZ Primary
Medical Physician Assistant 363AM0700X 10710 AZ
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5670 N Professional Park Dr Ste 100
Tucson, AZ 85704-7821

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

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
I20241002002325 AZ Practitioner - Physician Assistant 0042741910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

Practice addresses (Care Compare)

2055 W Hospital Dr
Suite 205
Tucson, AZ 85704-7822
Phone (520) 575-6944

2530 E Southern Ave
Mesa, AZ 85204-5411
Phone (602) 222-1900

395 N Silverbell Rd
Suite 315
Tucson, AZ 85745-2980
Phone (520) 618-1010

6320 N la Cholla Blvd
Suite 300
Tucson, AZ 85741-3552
Phone (520) 545-0953

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10710AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Urology, PC Current Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Dec 31, 2025 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Dec 31, 2025 Accepting new patients
Arizona Urology Specialists, PLLC Past Accepting new patients

Locations

6320 N La Cholla Blvd
Ste 370
Tucson, AZ 85741
Phone (520) 797-5603

6320 N La Cholla Blvd
Ste 300
Tucson, AZ 85741
Phone (520) 545-0953

5670 N Professional Park Dr
Tucson, AZ 85704
Phone (520) 618-6445

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

6130 N La Cholla Blvd
Ste 210
Tucson, AZ 85741
Phone (520) 575-5003

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

2260 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 742-9777

5670 N Professional Park Dr
Ste 100
Tucson, AZ 85704

5670 N Professional Park Dr
Ste 120
Tucson, AZ 85704
Phone (520) 618-6445

6130 N La Cholla Blvd
Ste 240
Tucson, AZ 85741
Phone (520) 326-1457

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: corydavis@fu.allscriptsdirect.net

Organizations & group practices 5

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1821788563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 N PROFESSIONAL PARK DR STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047821",
            "telephone_number": "520-618-1010",
            "fax_number": "520-784-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CORY",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10710",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10710",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.