Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912257536 Individual Practitioner Male Practitioner

Cody C Davis , PA-C

Physician Assistant • Indian Head, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cody Davis, PA-C is a certified Physician Assistant practicing in Indian Head, MD. With approximately 14 years of clinical experience since completing medical education in 2012, Cody Davis delivers high-quality medical care to the local community at 4141 W WILSON RD BLDG 1600.

Cody Davis is affiliated with Emergency Physicians Of Tidewater and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, 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

4141 W Wilson Rd Bldg 1600

Indian Head, MD 206405162

Telephone 3107441059

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Indian Head, MD

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +6.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Indian Head, MD (3255 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (14 Years) 14 Yrs
Indian Head Specialty Average (8.0 Years) 8.0 Yrs

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
99284 Emergency department visit with moderate level of medical decision making
26 26 $639.15 $105.84
99285 Emergency department visit for life threatening or functioning severity
19 19 $773.84 $152.60
99283 Emergency department visit with low level of medical decision making
18 18 $368.50 $62.36

Medical Specialties & State Licenses

CMS Verified: 2024-04-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 5198

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.

Hospital & Practice Group Affiliations

Emergency Physicians Of Tidewater

2025 Glenn Mitchell Dr, Virginia Beach, VA 234560178

Phone: 7575071520

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Chatchaval Pongsugree , DDS

Dentist - General Practice

NPI 1841253325

Doctor of Dental Surgery

Dr. Jenelle Anthony , PsyD

Psychologist - Clinical

NPI 1841447596

Doctor of Psychology (Psy.D.)

Dr. Eddie Nance , MD

Family Medicine

NPI 1881057032

Doctor of Medicine (M.D.)

Danielle Whitacre , PA-C

Physician Assistant

NPI 1932610425

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 10, 2024

Registered at 4141 W WILSON RD BLDG 1600, INDIAN HEAD, MD 206405162 (Tel: 3107441059)

📍
Updated Business Mailing Address April 10, 2024

Registered at 4141 W WILSON RD BLDG 1600, INDIAN HEAD, MD 206405162

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 1500 S MILL AVE, TEMPE, AZ 852816699 (Tel: 6029689411)

📍
Updated Business Mailing Address September 11, 2012

Registered at 1500 SOUTH MILL AVE, TEMPE, AZ 85281

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as CODY DAVIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Physician Assistant (License #5198 in AZ)

🟢
Initial NPI Registration & Enumeration September 11, 2012

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 Cody Davis. Be the first to share your experience!

Sign in to leave a review for Cody Davis

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

NPI Administrative Meta

NPI Number: 1912257536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2012
Last Update: April 10, 2024
Sole Proprietor: No

Mailing Address

4141 W Wilson Rd Bldg 1600

Indian Head, MD 206405162

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.