● Active Type 1 · Individual

Jason Davis, PA

Physician Assistant·Gooding, ID· NPI 1003127374 · Enumerated 2010 · 16 years on NPI

Davis is 1 of 8 physician assistant providers in Gooding and 1 of 1,299 in Idaho.

NPI age

16 years

Enumerated 2010-07-01

Primary specialty

Physician Assistant

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2022-08-26

Source: CMS NPPES provider record

Sole proprietor

May be part of a larger org

How this provider compares

Across 1299 active physician assistant providers in Idaho.

NPI age

16 years

↑ 6 yr above median (10 yr)

State licenses

1 state

27% of peers hold multiple states

Subspecialties

34% of peers hold subspecialties

NPI lifetime · 2010 → 2022

2010-07Enumerated in NPPES

2010 2022

Where they practice

Practice location

267 N Canyon Dr

Gooding, ID 833305500

📞 2089344446fax 2089344442

Mailing address

267 N Canyon Dr

Gooding, ID 833305500

📞 2089344446fax 2089344442

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant

Physician Assistant Primary

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...

TX license #PA06785 taxonomy 363A00000X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties

Physician Assistant

Largest Medicare group

73 members

Largest listed enrollment group

Facility affiliations reported by CMS

North Canyon Medical Center Inc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Gooding in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.