Active NPI
Lindsay Alex Davis, PA
- Physician Assistant
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA4564
- Practice address
- 110 Liberty St
Brockton, MA 02301-5674 - Phone
- (508) 565-3055
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA4564 | MA | Primary |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301-5674
Mailing address
110 Liberty St
Brockton, MA 02301-5674
Phone (508) 565-3055
Other practice location 1
277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone (508) 646-7645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Hospital & facility affiliations
- Signature Healthcare Brockton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525
277 Pleasant St
Ste 101
Fall River, MA 02721
Phone (508) 617-9740
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1861746596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-565-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-565-3055"
}
],
"practiceLocations": [
{
"address_1": "277 Pleasant St Ste 101",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027213005",
"country_code": "US",
"telephone_number": "508-646-7645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LINDSAY",
"middle_name": "ALEX",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA4564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.