Individual provider Active NPI

Deana P. Hale, P.A.

  • Physician Assistant
  • Mount Vernon, KY
National Provider Identifier
1285080366
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC479 Issued in KY
Practice address
140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone
(606) 256-4148
Fax
(606) 256-2753
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 TC479 KY Primary

Addresses

Primary practice location

140 Newcomb Ave
Mount Vernon, KY 40456-2725

Mailing address

140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone (606) 256-4148

Other names 1

  • Deana Gabbard Other name

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
I20160622001627 KY Practitioner - Physician Assistant 1951692953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians

Practice addresses (Care Compare)

140 Newcomb Ave
Mt Vernon, KY 40456-2725

140 Newcomb Ave
Mt Vernon, KY 40456-2728
Phone (606) 256-4148

145 Newcomb Ave
Mount Vernon, KY 40456-2728

145 Newcombe Ave
Mount Vernon, KY 40456-2733
Phone (606) 256-2195

Hospital & facility affiliations

  • Rockcastle County Hospital, Inc. Hospital, Mount Vernon, KY, CCN 180115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC479KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Physician Assistant CurrentSince Mar 1, 2024 Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince May 9, 2016 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Apr 19, 2023 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Physician Assistant Current Accepting new patients
Rockcastle County Hospital, Inc. Physician Assistant CurrentSince May 9, 2016 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Apr 19, 2023 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jul 30, 2017 Accepting new patients
Rockcastle County Hospital, Inc. Current Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Southern Kentucky Vascular Procedure Center, PLLC Past Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1770 Lake Cumberland Rd
Mount Vernon, KY 40456
Phone (606) 256-2195

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

129 Stone Trace Dr
Mt Sterling, KY 40353
Phone (859) 498-6006

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Interoperability endpoints

  • Direct secure messaging: deana.gabbard.1@19475.direct.athenahealth.com
  • Direct secure messaging: rhcdgabbar@yourcarecommunity.org

Organizations & group practices 12

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 1

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1285080366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-4148",
            "fax_number": "606-256-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-4148",
            "fax_number": "606-256-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "DEANA",
        "middle_name": "P.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "GABBARD",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.