Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Davidson

Individual provider Nurse Practitioner · NPI 1194393991

Amy Davidson is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2021, 5 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
5
Licensed in
IN, KY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

711 Medical Village Dr
Edgewood, KY 41017-3439
Phone: (859) 287-3045
Fax: (859) 578-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3016174 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71013775A (IN)

Record details

NPI number1194393991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewood