Individual provider

Jennifer Davis, PA-C

Physician Assistant Deactivated record

Jennifer Davis, PA-C is a Physician Assistant in Stuart, FL, registered under NPI 1790976330.

This NPI is deactivated. The provider has retired, changed registration, or the number was retired by CMS. Details below are kept for reference — do not rely on them to arrange care.

Getting there

The practice address on file is 2220 SE OCEAN BLVD STE 301, Stuart, FL 34996. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2220 SE OCEAN BLVD STE 301, Stuart, FL 34996 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9104207 FL Physician Assistant primary
4357 AZ Physician Assistant

Licences are recorded in 2 states: FL, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Arizona and Florida. The practice address on file is in Stuart, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona
Licence
4357
Specialty
Physician Assistant
Verify with the AZ board →
FL Florida practice address
Licence
9104207
Specialty
Physician Assistant
Verify with the FL board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

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. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant 9104207 FL primary
363A00000X Physician Assistant 4357 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790976330 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 8, 2007
Last updatedJul 27, 2024
StatusDeactivated
Sole proprietorNo
CredentialPA-C
Practice address 2220 SE OCEAN BLVD STE 301
Stuart, FL 34996
(772) 220-3339
Fax (772) 286-2635
Mailing address 2336 SE OCEAN BLVD STE 145
Stuart, FL 34996
Other identifiers Y04VT · Other (FL)
P01165507 · Other (FL)
This record was updated on Jul 27, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1790976330 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 9 7 6 3 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 9 7 3 3 6

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790976330?
NPI 1790976330 is the National Provider Identifier assigned to Jennifer Davis, PA-C in Stuart, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
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…
How do I contact Jennifer Davis, PA-C?
The phone number on file with NPPES is (772) 220-3339, last updated Jul 27, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1790976330 a valid number?
Yes. 1790976330 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.