Individual provider Active NPI

Julianna Nicole Davis, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1871000323
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
200 N 16TH St Ste D
Philadelphia, PA 19102-1202
Phone
(215) 315-3197
Fax
(215) 689-4466
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

200 N 16TH St Ste D
Philadelphia, PA 19102-1202

Mailing address

200 N 16TH St Ste D
Philadelphia, PA 19102-1202
Phone (215) 315-3197

Other practice location 1

2301 E Evesham Rd Ste 202
Voorhees, NJ 08043-4502
Phone (215) 315-3197

Other practice location 2

2301 E Evesham Rd Ste 203
Voorhees, NJ 08043-4501
Phone (215) 315-3197

Other names 1

  • Julianna Nicole Jarvis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20180212001171 NJ Practitioner - Physician Assistant 9234499252 Reassigns benefits to 3 organizations
I20240829004075 PA Practitioner - Physician Assistant 9234499252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology of Philadelphia / Mohs Surgery Center, LLCGroup PAC ID 1254762438, 4 clinicians

Practice addresses (Care Compare)

200 N 16TH St
Philadelphia, PA 19102-1202
Phone (215) 315-3197

200 N 16TH St
Suite D
Philadelphia, PA 19102-1225

525 Route 73 S 302/303
Marlton, NJ 08053-9642
Phone (215) 315-3197

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
95.6
Promoting interoperability
100
Improvement activities
40
Cost
85.58

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jjarvis@dermofphilly.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1871000323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021202",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021202",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Evesham Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434502",
            "country_code": "US",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E Evesham Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434501",
            "country_code": "US",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIANNA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNA",
            "last_name": "JARVIS",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.