Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295214047 Individual Practitioner Male Practitioner

Johnathan O'neil Davidson , PA-C

Physician Assistant • Hazard, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Johnathan Davidson, PA-C is a certified Physician Assistant practicing in Hazard, KY. With approximately 8 years of clinical experience since completing medical education in 2018, Johnathan Davidson delivers high-quality medical care to the local community at 200 MEDICAL CENTER DR.

Johnathan Davidson is affiliated with Appalachian Regional Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Medical Center Dr

Hazard, KY 41701

Telephone 6064396779
Fax 6064878448
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hazard, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -4.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Hazard, KY (1973 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davidson (8 Years) 8 Yrs
Hazard Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
132 60 $49.00 $50.13
20610 Aspiration and/or injection of fluid from large joint
72 41 $145.53 $40.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
67 67 $71.00 $67.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $137.17 $110.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $73.00 $74.73

Medical Specialties & State Licenses

CMS Verified: 2026-08-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA2393

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100551170 (KY)

Hospital & Practice Group Affiliations

Appalachian Regional Healthcare Inc

102 Medical Ctr Dr, Hazard, KY 417019421

Phone: 6064357200

Appalachian Regional Healthcare Inc

214 Hospital Rd, Whitesburg, KY 418587627

Phone: 6066336255

Appalachian Regional Healthcare Inc

181 Roy Campbell Dr, Hazard, KY 417019407

Phone: 6064391316

Appalachian Regional Healthcare Inc

110 Medical Ctr Dr, Hazard, KY 417019421

Phone: 6064877902

Appalachian Regional Healthcare Inc

214 Hospital Rd, Whitesburg, KY 418587627

Phone: 6066333632

Appalachian Regional Healthcare Inc

100 Medical Ctr Dr, Hazard, KY 417019421

Phone: 6064396600

Appalachian Regional Healthcare Inc

200 Medical Ctr Dr, Hazard, KY 417019466

Phone: 6064877510

Appalachian Regional Healthcare Inc

240 Hospital Rd, Whitesburg, KY 418587627

Phone: 6066333500

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Jonathan Bach , MD

Internal Medicine

NPI 1306425814

Doctor of Medicine (M.D.)

Lori Bradley , APRN

Nurse Practitioner

NPI 1447537105

Advanced Practice Registered Nurse

Dr. Uday Shankar , MD

Internal Medicine - Gastroenterology

NPI 1881660538

Doctor of Medicine (M.D.)

NPI 1922056019

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address May 16, 2025

Registered at 200 MEDICAL CENTER DR, HAZARD, KY 417019466

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2025

Physician Assistant (License #PA2393 in KY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2024

Physician Assistant (License #TC729 in KY)

NPI Profile Active August 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2018

Registered at 200 MEDICAL CENTER DR, HAZARD, KY 41701 (Tel: 6064396779)

📍
Updated Business Mailing Address August 13, 2018

Registered at 100 AIRPORT GARDENS RD STE 311, HAZARD, KY 417019529 (Tel: 6064396978)

👤
Provider Name / Credentials Updated August 13, 2018

Recorded as JOHNATHAN DAVIDSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 13, 2018

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: 1295214047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2018
Last Update: August 04, 2026
Sole Proprietor: No

Mailing Address

200 Medical Center Dr

Hazard, KY 417019466

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.