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

Michelle Davis, PA

Individual provider Medical Physician Assistant · NPI 1487103719

Michelle Davis, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Advanced Dermatology of Arizona PC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

740 E Highland Ave Ste 101
Phoenix, AZ 85014-3649
Phone: (602) 264-9044
Fax: (602) 264-0057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6490 (AZ)

Record details

NPI number1487103719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address740 E Highland Ave, Suite 101, Phoenix, AZ 85014-3649

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Dermatology Of Arizona Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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