Dustin Scott Ammerman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2722 Issued in KY

Practice address

1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902

Phone

(606) 280-7875

NPI assigned

Oct 2, 2020

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlas Pain and Spine PLLCGroup PAC ID 4082956198, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
• Saint Joseph London Hospital, London, KY, CCN 180011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Atlas Pain and Spine PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Corbin, KY
  • NPI 1487112843

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Atlas Pain and Spine PLLC

  • Durable Medical Equipment & Medical Supplies
  • Richmond, KY
  • NPI 1902627946
  NPD

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

• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph London

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1114524188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 W CUMBERLAND GAP PKWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015902",
            "telephone_number": "606-280-7875",
            "fax_number": "833-974-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 W CUMBERLAND GAP PKWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015902",
            "telephone_number": "606-280-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Ival James Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758281",
            "country_code": "US",
            "telephone_number": "859-544-1068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Barnes Mill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753539",
            "country_code": "US",
            "telephone_number": "859-544-1068",
            "fax_number": "833-974-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMERMAN",
        "first_name": "DUSTIN",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Allen, BS
• Allergy Associates, P.a. (The Allergy, Asthma & Sinus Center)
• Erika Gabrielle Almodovar, MD
• Eric Todd Alsip, MA, LCADC, LPA
• Amber Jordan
• Eleshia Stephenie Ammerman, PA-C
• Amsol Anesthetists of Kentucky PLLC
• Alyssa Monica Anciro
• Carolyn Sue Anderson, M.ED., CADC
• Debra L Anderson

• Physician Assistant in Corbin, KY
• Providers in Corbin, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.