Johnathan O'Neil Davidson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2393 Issued in KY

Practice address

200 Medical Center Dr
Hazard, KY 41701

Phone

(606) 439-6779

Fax

(606) 487-8448

NPI assigned

Aug 13, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002
• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029

Merit-based Incentive Payment System (MIPS)

Final score

82.15 of 100Reported as apm

Quality

47.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnathandavidson@arh.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Arh Tug Valley Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
  • NPI 1588328967
  Medicare reassignment
• Appalachian Regional Healthcare Inc

  • Psychiatry Physician
  • Hazard, KY
  • NPI 1164947099
  NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Arh Tug Valley Health Services, Inc.

  • Psychiatric Hospital Unit
  • Prestonsburg, KY
  • NPI 1063074581
  NPD
• Arh Tug Valley Health Services, Inc.

  • Diagnostic Radiology Physician
  • Paintsville, KY
  • NPI 1811639297

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Whitesburg, KY
  • NPI 1194723726
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Clinic/Center
  • Jenkins, KY
  • NPI 1235373358

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Surgery Physician
  • Whitesburg, KY
  • NPI 1497764401

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Whitesburg, KY
  • NPI 1821204199

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1295214047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-439-6779",
            "fax_number": "606-487-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JOHNATHAN",
        "middle_name": "O'NEIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100551170",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathandavidson@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "200 Medical Center Dr",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "41701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genevia Daniels
• Ruth Darland
• Davidson-Moore Eyecare
• Allie Brooks Davidson, APRN
• Charles Jordan Davidson, OD
• Mary Ann Davidson
• Kayla Stidham Davis, M.S.,R.D.,L.D.
• Alyssa Paige Day, DMD
• Brittany Day
• Brian Edward Deaton, D.M.D.

• Physician Assistant in Hazard, KY
• Providers in Hazard, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.

Verify at the official NPI Registry.