NPIMap

Individual provider Active NPI

Carly Denise Welch, PA

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1114782562
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3585 Issued in KY
Practice address
676 S Floyd St Ste 200
Louisville, KY 40202-1840
Phone
(502) 629-2500
Fax
(502) 629-4445
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3585 KY Primary
Medical Physician Assistant 363AM0700X PA3585 KY
Surgical Physician Assistant 363AS0400X PA3585 KY

Addresses

Primary practice location

676 S Floyd St Ste 200
Louisville, KY 40202-1840

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

410 Meijer Dr
Florence, KY 41042-5128
Phone (859) 980-7912

Other practice location 2

740 S Limestone Ste L119
Lexington, KY 40536-3403
Phone (859) 257-3253

Other practice location 3

1 Medical Village Drive
Edgewood, KY 41017-3403
Phone (859) 578-5880

Other practice location 4

3 Audubon Plaza Dr Ste 430
Louisville, KY 40217-1319
Phone (502) 636-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115004021 KY Practitioner - Physician Assistant 0749714442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1319
Phone (502) 636-4900

676 S Floyd St
Suite 200
Louisville, KY 40202-1840
Phone (502) 629-2806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3585KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc CurrentSince Jun 1, 2025 Accepting new patients
University of Kentucky CurrentSince Oct 29, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc PastSince Nov 1, 2024 Accepting new patients
University of Kentucky PastSince Nov 1, 2024 Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

4955 Norton Healthcare Blvd
Fl 2
Louisville, KY 40241
Phone (502) 394-6350

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

Organizations & group practices 6

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1114782562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S FLOYD ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021840",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410425128",
            "country_code": "US",
            "telephone_number": "859-980-7912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 S Limestone Ste L119",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405363403",
            "country_code": "US",
            "telephone_number": "859-257-3253",
            "fax_number": "859-323-1203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Drive",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-578-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Audubon Plaza Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171319",
            "country_code": "US",
            "telephone_number": "502-636-4900",
            "fax_number": "502-636-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CARLY",
        "middle_name": "DENISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3585",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA3585",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA3585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.