Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Davis

Individual provider Physician Assistant · NPI 1376410233

Gavin Davis is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025

Practice location Address checks out

1175 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone: (570) 808-1093
Fax: (570) 808-7878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA067105 (PA)

Record details

NPI number1376410233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilkes Barre