Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043480056 Individual Practitioner Male Practitioner

John Howard Davidson , PA

Physician Assistant • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

John Davidson, PA is a registered healthcare professional specializing in Physician Assistant in Carbondale, IL. Practice services are available at 405 W JACKSON ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 W Jackson St

Carbondale, IL 629011462

Telephone 6185490721
Fax 6184570469
Associated Practice Facility / Clinic
🏢 Brigham Anesthesia South Llc Facility NPI 1699769232

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
115 113 $436.00 $146.49
99284 Emergency department visit with moderate level of medical decision making
57 57 $289.00 $101.15

Medical Specialties & State Licenses

CMS Verified: 2021-01-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001572

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Illinois License
085001572 (IL)

Secondary Practice Locations

16091 Swingley Ridge Rd, Suite #100

Chesterfield, MO 630172056

Phone: 6367282200

201 S 14th St

Herrin, IL 629483631

Phone: 6189422171

2 S Hospital Dr

Murphysboro, IL 629663333

Phone: 6186843156

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lukas Ward , PA

Physician Assistant

NPI 1003466269

Physician Assistant

Dr. Rupal Parmar , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003846247

Doctor of Medicine (M.D.)

Dr. Scott Cooper , MD

Emergency Medicine

NPI 1003999228

Doctor of Medicine (M.D.)

NPI 1013112283

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Britney Arnold , PA-C

Physician Assistant

NPI 1013342039

Physician Assistant (Certified)

Bradley Brush , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1013985613

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 10, 2019

Registered at 405 W JACKSON ST, CARBONDALE, IL 629011462 (Tel: 6185490721)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Physician Assistant

NPI Profile Active February 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2009

Registered at 16091 SWINGLEY RIDGE RD, SUITE #100, CHESTERFIELD, MO 630172056 (Tel: 6367282200)

📍
Updated Business Mailing Address February 23, 2009

Registered at 16091 SWINGLEY RIDGE RD, SUITE #100, CHESTERFIELD, MO 630172056 (Tel: 6367282200)

👤
Provider Name / Credentials Updated February 23, 2009

Recorded as JOHN DAVIDSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2009

Emergency Medicine (License #085001572 in IL)

🟢
Initial NPI Registration & Enumeration March 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for John Davidson. Be the first to share your experience!

Sign in to leave a review for John Davidson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043480056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2008
Last Update: January 11, 2021
Sole Proprietor: No

Mailing Address

16091 Swingley Ridge Rd, Suite #100

Chesterfield, MO 630172056

Phone: 6367282200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.