Individual provider Active NPI

Abby L Pennington, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1255412292
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA966 Issued in KY
Practice address
2416 Regency Rd
Lexington, KY 40503-2954
Phone
(859) 278-1316
Fax
(859) 276-3847
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 PA966 KY Primary

Addresses

Primary practice location

2416 Regency Rd
Lexington, KY 40503-2954

Mailing address

PO Box 737100
Chicago, IL 60673-6374
Phone (317) 706-7246

Other practice location 1

110 Hardin Ln Ste 4
Somerset, KY 42503-3818
Phone (859) 278-1316

Other practice location 2

2187 Lexington Rd Ste B1
Richmond, KY 40475-7919
Phone (859) 278-1316

Other practice location 3

1401 Harrodsburg Rd Ste A300
Lexington, KY 40504-3787
Phone (859) 276-4429

Other practice location 4

100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-5300

Other identifiers 1

IdentifierTypeStateIssuer
7100017410MedicaidKY

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
I20070402000644 KY Practitioner - Physician Assistant 1456455310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Treatment Center of the Bluegrass PSCGroup PAC ID 2365937471, 13 clinicians

Practice addresses (Care Compare)

2416 Regency Rd
Lexington, KY 40503-2954
Phone (859) 278-1316

Merit-based Incentive Payment System (MIPS)

Final score
44.67 of 100Reported as group
Quality
19.32
Promoting interoperability
0
Improvement activities
40
Cost
79.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC019KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Center of the Bluegrass PSC Physician Assistant CurrentSince Jan 20, 2026 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2020 Accepting new patients

Locations

2416 Regency Rd
Lexington, KY 40503

4915 Norton Healthcare Blvd
Ste 202
Louisville, KY 40241

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1255412292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606736374",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 REGENCY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032954",
            "telephone_number": "859-278-1316",
            "fax_number": "859-276-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hardin Ln Ste 4",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033818",
            "country_code": "US",
            "telephone_number": "859-278-1316",
            "fax_number": "859-276-3847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2187 Lexington Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404757919",
            "country_code": "US",
            "telephone_number": "859-278-1316",
            "fax_number": "859-276-3847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Harrodsburg Rd Ste A300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043787",
            "country_code": "US",
            "telephone_number": "859-276-4429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Eagle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091805",
            "country_code": "US",
            "telephone_number": "859-258-5300",
            "fax_number": "859-258-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "ABBY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.