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

Cory Bennett Davidson, PA-C

Individual provider Medical Physician Assistant · NPI 1235389412

Cory Bennett Davidson, PA-C is a Physician Assistant in Erie, Pennsylvania. Qualified in 2008, 18 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2008
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

3822 Colonial Ave Ste C
Erie, PA 16506-3826
Phone: (814) 616-0321
Fax: (814) 528-5643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 W 11th St, Erie, PA 16501-1758 — (814) 452-2218

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA053612 (PA)

Record details

NPI number1235389412
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2008
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Erie