Active NPI
Amy Noble Davidson, PA-C
- Physician Assistant
- Washington Court House, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1450 Columbus Ave Ste 103
Washington Court House, OH 43160-3701 - Phone
- (740) 333-2243
- Fax
- (740) 333-2248
- NPI assigned
- Oct 16, 2012
- Last updated
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
1450 Columbus Ave Ste 103
Washington Court House, OH 43160-3701
Mailing address
1450 Columbus Ave Ste B 6-7-8
Washington Court House, OH 43160-3701
Phone (740) 333-2236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077380 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amydavidson@fcmhms.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201
1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210
1450 Columbus Ave
Washington Court House, OH 43160-3701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.93 of 100
- Quality
- 64.42
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- adavidson@yourcarecommunity.org
- adavidson1066395@direct.osumc.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Washington Court House, OH
- NPI 1508978677
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- Critical Access Hospital
- Greenfield, OH
- NPI 1215960901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1104179183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 COLUMBUS AVE STE B 6-7-8",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431603701",
"telephone_number": "740-333-2236",
"fax_number": "740-333-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 COLUMBUS AVE STE 103",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431603701",
"telephone_number": "740-333-2243",
"fax_number": "740-333-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "AMY",
"middle_name": "NOBLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077380",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amydavidson@fcmhms.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1450 Columbus Ave Ste 103",
"city": "Washington Court House",
"state": "OH",
"country_code": "US",
"postal_code": "431603701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.