Individual provider Active NPI

Sara Madison Davenport Moscow, MD

  • Obstetrics & Gynecology Physician
  • Lexington, KY
National Provider Identifier
1619235033
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54673 Issued in KY
Practice address
1700 Nicholasville Rd Ste 704
Lexington, KY 40503-1467
Phone
(859) 278-0363
Fax
(859) 278-0363
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 59421 TN
Obstetrics & Gynecology Physician 207V00000X 0101256921 VA
Obstetrics & Gynecology Physician 207V00000X 54673 KY Primary

Addresses

Primary practice location

1700 Nicholasville Rd Ste 704
Lexington, KY 40503-1467

Mailing address

1908 Truett Ave
Nashville, TN 37206-1844
Phone (919) 522-7658

Other practice location 1

OBHG @ Tristar Centennial
2221 Murphy Avenue
Nashville, TN 37203
Phone (615) 342-2899

Other practice location 2

350 Park St Ste 203B
Bowling Green, KY 42101-1784
Phone (270) 781-0075

Other practice location 3

2000 Church St
Nashville, TN 37236-4400
Phone (919) 522-7658

Other practice location 4

301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-0432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190730004596 TN Practitioner - Obstetrics/Gynecology 5193051084 Reassigns benefits to 4 organizations
I20210315000708 KY Practitioner - Obstetrics/Gynecology 5193051084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54673KYMDObstetrics & Gynecology Physician
59421TNMDObstetrics & Gynecology Physician
0101256921VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 17, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Obhg Tennessee, P.C. Obstetrics & Gynecology CurrentSince May 21, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 17, 2024 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jun 1, 2022 Accepting new patients
Midtown Emergency Specialists PC Obstetrics & Gynecology CurrentSince Feb 25, 2025 Accepting new patients
Midtown Physician Services, PC Obstetrics & Gynecology CurrentSince Mar 12, 2025 Accepting new patients
Her Health , PLLC Obstetrics & Gynecology PastSince Aug 8, 2024 Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1700 Nicholasville Rd
Ste 704
Lexington, KY 40503
Phone (859) 278-0363

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

5651 Frist Blvd
Ste 213
Hermitage, TN 37076
Phone (615) 250-6900

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

300 20th Ave N
Fl 9
Nashville, TN 37203

2000 Church St
#3
Nashville, TN 37236
Phone (615) 284-5555

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1619235033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 TRUETT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061844",
            "telephone_number": "919-522-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 704",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0363",
            "fax_number": "859-278-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "OBHG @ Tristar Centennial",
            "address_2": "2221 Murphy Avenue",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37203",
            "country_code": "US",
            "telephone_number": "615-342-2899",
            "fax_number": "513-558-6138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Park St Ste 203B",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011784",
            "country_code": "US",
            "telephone_number": "270-781-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Church St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372364400",
            "country_code": "US",
            "telephone_number": "919-522-7658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-0432",
            "fax_number": "513-558-6138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSCOW",
        "first_name": "SARA",
        "middle_name": "MADISON DAVENPORT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "59421",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101256921",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "54673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.