Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chantina Danyell Davis, PA-C

Individual provider Medical Physician Assistant · NPI 1730377300

Chantina Danyell Davis, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2004, 22 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748
Phone: (904) 730-5115
Fax: (904) 828-5552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10175 Fortune Pkwy Unit 803, Jacksonville, FL 32256-6754 — (904) 374-0353

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103211 (FL)

Record details

NPI number1730377300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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