Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cora McCully, PA-C

Individual provider Physician Assistant · NPI 1699516351

Cora McCully, PA-C is a Physician Assistant in Edgewood, Kentucky. Qualified in 2024, 2 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20 Medical Village Dr
Edgewood, KY 41017-5401
Phone: (859) 578-5880
Fax: (859) 578-5881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3561 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence TC058 (KY)

Record details

NPI number1699516351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 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