Individual provider Active NPI

Ann Marie Davis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Corbin, KY
National Provider Identifier
1639589203
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00477 Issued in KY
Practice address
1007 Cumberland Falls Hwy
Corbin, KY 40701-2714
Phone
(606) 258-8637
Fax
(606) 523-2215
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 00477 KY Primary

Addresses

Primary practice location

1007 Cumberland Falls Hwy
Corbin, KY 40701-2714

Mailing address

117 Tradepark Dr Ste B
Somerset, KY 42503-3428
Phone (606) 679-2773

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831001684 KY Practitioner - Podiatry 5698048312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians

Practice addresses (Care Compare)

1007 Cumberland Falls Hwy
Corbin, KY 40701-2714
Phone (606) 258-8637

115 N Keeneland Dr
Richmond, KY 40475-8687
Phone (859) 623-6157

117 Tradepark Dr
Suite B
Somerset, KY 42503-3428
Phone (606) 679-2773

140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone 60625641484103

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99
Removal of skin lesions28
Removal of nail tissue744
Removal or shaving of skin growth149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00477KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Multi-Specialty CurrentSince May 5, 2022 Accepting new patients
Cumberland Foot & Ankle Centers Multi-Specialty Current Accepting new patients
Upperline Healthcare, PC Multi-Specialty CurrentSince May 5, 2022 Accepting new patients
Vital Path Care PC Multi-Specialty CurrentSince Jan 15, 2025 Accepting new patients
Cumberland Foot and Ankle Centers Multi-Specialty CurrentSince Jul 19, 2017 Accepting new patients
Cumberland Foot and Ankle Center Multi-Specialty CurrentSince Jul 19, 2017 Accepting new patients

Locations

1850 Westen St
Bowling Green, KY 42104
Phone (270) 846-3338

1007 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 258-8637

479 Whirlaway Dr
#A
Danville, KY 40422
Phone (859) 239-8005

125 Memorial Dr
Ste 400
Franklin, KY 42134
Phone (270) 813-0948

49 Gregory St
Monticello, KY 42633
Phone (606) 343-0289

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

115 N Keeneland Dr
Richmond, KY 40475
Phone (859) 623-6157

2868 S Highway 127
Russell Springs, KY 42642
Phone (270) 866-6404

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

117 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 679-2773

49 Medical Loop
Whitley City, KY 42653

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639589203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TRADEPARK DR STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-679-2773",
            "fax_number": "606-679-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012714",
            "telephone_number": "606-258-8637",
            "fax_number": "606-523-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.