Andrew Jeremiah Davidson, STUDENT
NPI 1871047639ActiveIndividual· Physician Assistant· Camp Lejeune, NC
Physician Assistant (STUDENT) in Camp Lejeune, North Carolina, licensed in TX and NC, with an NPI issued in August 2016. Enrolled in Medicare as order and referring only - physician assistant.
Overview
| NPI | 1871047639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | STUDENT |
| Sole proprietor | No |
| NPI issued | Aug 10, 2016 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | MD |
| Military Health Care Provider, Independent Duty Corpsman | 1710I1002X | 23588888 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | 23588888 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Physician Assistant (MD) |
|---|
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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