Russell David Davis, PA
NPI 1669119145ActiveIndividual· Physician Assistant· Clemmons, NC
Physician Assistant (PA) with Novant Health Medical Group, LLC, practicing in Clemmons, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $7,742 for 151 claims, against $1,422 paid for services in 2024. Lists Novant Health Forsyth Medical Center as a hospital affiliation.
Overview
| NPI | 1669119145 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 17, 2022 |
| Last updated in NPPES | Jun 16, 2023 |
| Certified by provider | Jun 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-12444 | NC |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 35 across 7 procedure codes |
| Paid by Medicare | $1,422 |
Part D prescriptions in 2024
| Prescriptions (claims) | 151 · 163 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $7,742 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Novant Health Medical Group, LLCWinston Salem, NC · 2,430 clinicians
Hospital affiliation
- Novant Health Forsyth Medical CenterWinston-Salem, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 43 physician assistants in Clemmons · All physician assistants in North Carolina