Individual provider Active NPI

Jenny G Collins, PA-C

  • Physician Assistant
  • Harold, KY
National Provider Identifier
1063644185
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1214 Issued in KY
Practice address
246 Ky Route 979
Harold, KY 41635-9046
Phone
(606) 478-2200
Fax
(866) 310-9947
NPI assigned
Aug 24, 2009
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1214 KY Primary

Addresses

Primary practice location

246 Ky Route 979
Harold, KY 41635-9046

Mailing address

1709 Ky Route 321
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 1

178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone (606) 639-3135

Other practice location 2

450 S Mayo Trl
Paintsville, KY 41240-1220
Phone (606) 887-6145

Other practice location 3

23 Willow Dr
Auxier, KY 41602-9259
Phone (606) 886-8997

Other practice location 4

7629 Ky Route 979
Grethel, KY 41631-6304
Phone (606) 587-2200

Other practice location 5

136 Park Rd
Freeburn, KY 41528-8718
Phone (606) 984-5484

Other practice location 6

50 Weddington Branch Rd Ste B
Pikeville, KY 41501-3296
Phone (606) 637-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000332 KY Practitioner - Physician Assistant 6709924566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Health Care, IncGroup PAC ID 1951211218, 51 clinicians

Practice addresses (Care Compare)

178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone (606) 639-3135

246 Ky Route 979
Harold, KY 41635-9046
Phone (606) 478-2200

7617 Ky Route 979
Grethel, KY 41631-6304
Phone (606) 587-2200

940 Pkwy Dr
Salyersville, KY 41465-9251
Phone (606) 349-5126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1214KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care Inc CurrentSince Jun 11, 2023 Accepting new patients
Big Sandy Health Care Inc CurrentSince Jun 11, 2023 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

136 Park Rd
Freeburn, KY 41528
Phone (606) 984-5484

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

246 Ky Route 979
Harold, KY 41635
Phone (606) 478-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

450 S Mayo Trl
Paintsville, KY 41240
Phone (606) 887-6145

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

1709 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-8546

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

5230 Ky Route 321
Ste 2
Prestonsburg, KY 41653
Phone (606) 886-6565

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1063644185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 KY ROUTE 979",
            "city": "HAROLD",
            "state": "KY",
            "postal_code": "416359046",
            "telephone_number": "606-478-2200",
            "fax_number": "866-310-9947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Douglas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415016970",
            "country_code": "US",
            "telephone_number": "606-639-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401220",
            "country_code": "US",
            "telephone_number": "606-887-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Auxier",
            "state": "KY",
            "postal_code": "416029259",
            "country_code": "US",
            "telephone_number": "606-886-8997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7629 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Grethel",
            "state": "KY",
            "postal_code": "416316304",
            "country_code": "US",
            "telephone_number": "606-587-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Freeburn",
            "state": "KY",
            "postal_code": "415288718",
            "country_code": "US",
            "telephone_number": "606-984-5484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Weddington Branch Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013296",
            "country_code": "US",
            "telephone_number": "606-637-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNY",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harold, KY

Sources for this page

Verify at the official NPI Registry.