Individual provider Active NPI

Amanda L Herrell, DO

  • Family Medicine Physician
  • Barbourville, KY
National Provider Identifier
1114449337
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06248 Issued in KY
Practice address
602 Knox St
Barbourville, KY 40906-1304
Phone
(606) 546-6027
Fax
(606) 546-2084
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06248 KY Primary

Addresses

Primary practice location

602 Knox St
Barbourville, KY 40906-1304

Mailing address

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200914000569 TN Practitioner - Family Practice 9830517572
I20251210003974 KY Practitioner - Family Practice 9830517572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
06248KYMDFamily Medicine Physician
TP766KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients
Wellmont Medical Associates, Inc. PastSince Sep 1, 2022 Accepting new patients

Locations

602 Knox St
Barbourville, KY 40906
Phone (606) 546-6027

96 Future Dr
Corbin, KY 40701

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1114449337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-546-6027",
            "fax_number": "606-546-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-546-6027",
            "fax_number": "606-546-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "06248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.