Susan Nolty McDavid, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79855 Issued in WV

Practice address

467 Dry Ridge Road, # 447
Grayson, KY 41143

Phone

(606) 475-9033

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1326546326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 DRY RIDGE ROAD",
            "address_2": "BOX 447",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "41143",
            "telephone_number": "606-475-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 DRY RIDGE ROAD, # 447",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "41143",
            "telephone_number": "606-475-9033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257011131",
            "country_code": "US",
            "telephone_number": "304-523-8838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDAVID",
        "first_name": "SUSAN",
        "middle_name": "NOLTY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "79855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Mauk
• Greg Matthew Mayhorn
• McCloud Eye Care Center Inc
• Jason H McCloud, O.D.
• Lori McDavid
• Megan Jane McDowell, APRN
• Boyd J McGlone
• Cheryll McGlone
• Glenda McGlone
• Brittany McKenzie

• Family Nurse Practitioner in Grayson, KY
• Providers in Grayson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.