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

Richard M Davis, PA-C

Individual provider Physician Assistant · NPI 1770613713

Richard M Davis, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2005, 21 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
21
Licensed in
KY
In the registry since
2007
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

3205 Summit Square Pl Ste 100
Lexington, KY 40509-2636
Phone: (859) 335-9041
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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 PA911 (KY)

Record details

NPI number1770613713
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3205 Summit Square Pl Ste 100, Lexington, KY 40509-2636

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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