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

Mrs. Kacie Amanda Davis, PA

Individual provider Medical Physician Assistant · NPI 1972970747

Mrs. Kacie Amanda Davis, PA is a Physician Assistant in Dothan, Alabama. Graduated from University of South Alabama College of Medicine in 2015, 11 years ago. Practices with Wiregrass Clinic LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
11
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2015
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

210 Westside Dr
Dothan, AL 36303-1928
Phone: (334) 793-5074
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1801 (AL)

Record details

NPI number1972970747
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Wiregrass Clinic Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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