Individual provider Active NPI

Zachary Davis, NP

  • Family Nurse Practitioner
  • Mount Vernon, KY
National Provider Identifier
1912722927
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4030559 Issued in KY
Practice address
1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Phone
(606) 256-7488
Fax
(606) 256-2753
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4030559 KY Primary

Addresses

Primary practice location

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431

Mailing address

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Phone (606) 256-7488

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
I20241211001375 KY Practitioner - Nurse Practitioner 5799211959 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Emhfl IncGroup PAC ID 7416842364, shared by 8 NPIs, 12 clinicians
Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians
Empact Midwest LLCGroup PAC ID 9436577517, 25 clinicians

Practice addresses (Care Compare)

110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4600

140 Newcomb Ave
Mt Vernon, KY 40456-2725

140 Newcomb Ave
Mt Vernon, KY 40456-2728
Phone (606) 256-4148

145 Newcomb Ave
Mount Vernon, KY 40456-2728

145 Newcombe Ave
Mount Vernon, KY 40456-2733
Phone (606) 256-2195

1509 Louisville Rd
Harrodsburg, KY 40330-8622
Phone (859) 734-5770

216 W Walnut St
Danville, KY 40422-1832

217 S 3Rd St
Danville, KY 40422-1823

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441

466 Linden Ave
Harrodsburg, KY 40330-1841

470 Linden Ave
Suite B
Harrodsburg, KY 40330-1871
Phone (859) 733-5890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Sep 8, 2025 Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince Nov 17, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Sep 8, 2025 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family Current Accepting new patients
Ephraim McDowell Health Resource,Inc CurrentSince Sep 8, 2025 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Sep 8, 2025 Accepting new patients
Empact Midwest LLC Family CurrentSince Jul 15, 2025 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
The James B. Haggin Memorial Hospital Inc Family Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

1770 Lake Cumberland Rd
Mount Vernon, KY 40456
Phone (606) 256-7488

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1912722927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 LAKE CUMBERLAND RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404568431",
            "telephone_number": "606-256-7488",
            "fax_number": "606-256-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 LAKE CUMBERLAND RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404568431",
            "telephone_number": "606-256-7488",
            "fax_number": "606-256-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ZACHARY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4030559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.