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

Alexandria Davenport, PA-C

Individual provider Physician Assistant · NPI 1740808823

Alexandria Davenport, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
6
Licensed in
NJ, PA
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (267) 595-7437
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA061767 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00579400 (NJ)

Record details

NPI number1740808823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Kennedy Medical Group Practice, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 414 clinicians in the practice; 12 are shown here.

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