Individual provider Active NPI

Cynthia L McCann, PAC

  • Physician Assistant
  • Lawrenceburg, KY
National Provider Identifier
1255397535
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA711 Issued in KY
Practice address
1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone
(502) 839-4091
NPI assigned
Apr 25, 2006
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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 PA711 KY Primary

Addresses

Primary practice location

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033

Mailing address

PO Box 4168
Frankfort, KY 40604-4168
Phone (502) 223-5811

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
I20100324000017 KY Practitioner - Physician Assistant 8224163647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians

Practice addresses (Care Compare)

1001 Leawood Dr
Frankfort, KY 40601-3375
Phone (502) 223-0231

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone (502) 839-4091

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA711KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Nov 12, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 12, 2021 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1001 Leawood Dr
Ste A
Frankfort, KY 40601
Phone (502) 227-1871

4 Hmb Cir
Frankfort, KY 40601
Phone (502) 223-5811

1080 Glensboro Rd
Lawrenceburg, KY 40342
Phone (502) 839-4091

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

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 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1255397535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4168",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406044168",
            "telephone_number": "502-223-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 GLENSBORO RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429033",
            "telephone_number": "502-839-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.