Individual provider Active NPI

Logan F. Haskins, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1184517559
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3755 Issued in KY
Practice address
160 N Eagle Creek Dr
Lexington, KY 40509-2121
Phone
(859) 264-9820
Fax
(859) 543-0994
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 PA3755 KY Primary

Addresses

Primary practice location

160 N Eagle Creek Dr
Lexington, KY 40509-2121

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

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
I20251120003241 KY Practitioner - Physician Assistant 2466944103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 N Eagle Creek Dr
Suite 303
Lexington, KY 40509-2124
Phone (859) 899-9240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC153KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

101 Jb Shannon Dr
Flemingsburg, KY 41041
Phone (606) 209-0016

160 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 264-9820

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

211 Fountain Ct
Lexington, KY 40509
Phone (859) 263-8807

160 N Eagle Creek Dr
Ste 303
Lexington, KY 40509
Phone (859) 264-9820

624 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 497-4144

1850 Bypass Rd
Winchester, KY 40391
Phone (859) 744-5111

Organizations & group practices 1

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1184517559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "859-543-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092121",
            "telephone_number": "859-264-9820",
            "fax_number": "859-543-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "LOGAN",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.