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Active NPI 1699516351 Individual Practitioner Female Practitioner

Cora Mccully , PA-C

Physician Assistant • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cora Mccully, PA-C is a certified Physician Assistant practicing in Edgewood, KY. With approximately 2 years of clinical experience since completing medical education in 2024, Cora Mccully delivers high-quality medical care to the local community at 20 MEDICAL VILLAGE DR.

Cora Mccully maintains professional affiliations with Premier Health Specialists Inc, Summit Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

20 Medical Village Dr

Edgewood, KY 410175401

Telephone 8595785880
Fax 8595785881
Associated Practice Facility / Clinic
🏢 Remke Medical Llc Facility NPI 1376542019

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edgewood, KY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -5.6 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Edgewood, KY (1973 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccully (2 Years) 2 Yrs
Edgewood Specialty Average (7.6 Years) 7.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA3561

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License KY TC058

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372778988

Summit Medical Group Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593015901

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Kelly Mackessy , DO

Surgery - Surgical Oncology

NPI 1003317421

Doctor of Osteopathic Medicine (D.O.)

David Tackett , APRN

Nurse Practitioner

NPI 1043821085

Advanced Practice Registered Nurse

Deborah Barnett , PA-C

Physician Assistant

NPI 1043895733

Physician Assistant (Certified)

NPI 1093947293

Doctor of Osteopathic Medicine (D.O.)

NPI 1134350721

Doctor of Medicine (M.D.)

NPI 1174516934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2024

Physician Assistant (License #PA3561 in KY)

📍
Updated Business Mailing Address October 03, 2024

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8595785880)

📍
Updated Practice Location June 17, 2024

Registered at 20 MEDICAL VILLAGE DR, EDGEWOOD, KY 410175401 (Tel: 8595785880)

📍
Updated Business Mailing Address June 17, 2024

Registered at 20 MEDICAL VILLAGE DR, EDGEWOOD, KY 410175401

NPI Profile Active June 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2024

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 4406548144)

📍
Updated Business Mailing Address June 05, 2024

Registered at 662 RIDDLE RD, CINCINNATI, OH 452202606

👤
Provider Name / Credentials Updated June 05, 2024

Recorded as CORA MCCULLY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699516351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2024
Last Update: December 16, 2024
Sole Proprietor: No

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8595785880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.