Individual provider Active NPI

William Simpson Davis, MD

  • Family Medicine Physician
  • Winchester, KY
National Provider Identifier
1891723680
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21156 Issued in KY
Practice address
1414 W Lexington Ave
Winchester, KY 40391-1184
Phone
(859) 737-0001
Fax
(859) 737-6658
NPI assigned
Jun 29, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21156 KY Primary

Addresses

Primary practice location

1414 W Lexington Ave
Winchester, KY 40391-1184

Mailing address

1414 W Lexington Ave
Winchester, KY 40391-1184
Phone (859) 737-0001

Other identifiers 1

IdentifierTypeStateIssuer
64211568MedicaidKY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000278 KY Practitioner - Emergency Medicine 7517913221 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21156KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Family Medicine CurrentSince Mar 11, 2014 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Nov 19, 2025 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Mar 11, 2014 Accepting new patients
Primary Care of the Bluegrass, LLC CurrentSince Jul 15, 2009 Accepting new patients
Lexington Primary Care LLC Family Medicine PastSince Jan 5, 2004 Accepting new patients
Madison Primary Care, LLC Family Medicine Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

29 Main St
Crab Orchard, KY 40419
Phone (606) 355-7300

1031 Wellington Way
Ste 240
Lexington, KY 40513

1055 Wellington Way
Ste 275
Lexington, KY 40513

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

120 Professional Ave
Winchester, KY 40391
Phone (859) 744-2485

1414 W Lexington Ave
Winchester, KY 40391
Phone (859) 737-0001

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1891723680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911184",
            "telephone_number": "859-737-0001",
            "fax_number": "859-737-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911184",
            "telephone_number": "859-737-0001",
            "fax_number": "859-737-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "SIMPSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "21156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64211568",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.