Individual provider Active NPI

Kevin Davis, PA

  • Medical Physician Assistant
  • Hindman, KY
National Provider Identifier
1811903529
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA244 Issued in KY
Practice address
396 Highway 899
Hindman, KY 41822-8953
Phone
(606) 785-9440
Fax
(606) 252-0012
NPI assigned
Aug 1, 2006
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA244 KY Primary

Addresses

Primary practice location

396 Highway 899
Hindman, KY 41822-8953

Mailing address

396 Highway 899
Hindman, KY 41822-8953
Phone (606) 785-9440

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001104 KY Practitioner - Physician Assistant 8527976687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4871

464 Ky Hwy 699
Cornettsville, KY 41731-8749
Phone (606) 476-2593

72 Buckhorn Clinic Rd
Buckhorn, KY 41721-8936
Phone (606) 398-7141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA244KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Sep 8, 2021 Accepting new patients
Mountain Comprehensive Health Corporation Past Accepting new patients
Our Lady of the Way Hospital, Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Team Radiology Physicians, PA Past Accepting new patients

Locations

464 KY Highway 699
Cornettsville, KY 41731
Phone (606) 476-2450

396 Highway 899
Hindman, KY 41822
Phone (606) 785-0208

105 Isom Plz
Jeremiah, KY 41826
Phone (606) 633-2233

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

324 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

Interoperability endpoints

  • Direct secure messaging: kevin.davis.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 8

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.

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1811903529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 HIGHWAY 899",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418228953",
            "telephone_number": "606-785-9440",
            "fax_number": "606-252-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 HIGHWAY 899",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418228953",
            "telephone_number": "606-785-9440",
            "fax_number": "606-252-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEVIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hindman, KY

Sources for this page

Verify at the official NPI Registry.