Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnathan O'Neil Davidson, PA-C

Individual provider Physician Assistant · NPI 1295214047

Johnathan O'Neil Davidson, PA-C is a Physician Assistant in Hazard, Kentucky. Qualified in 2018, 8 years ago. Practices with Appalachian Regional Healthcare Inc, a 293-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
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

200 Medical Center Dr
Hazard, KY 41701
Phone: (606) 439-6779
Fax: (606) 487-8448
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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 PA2393 (KY)

Record details

NPI number1295214047
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Appalachian Regional Healthcare Inc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Hazard