Individual provider Active NPI

Mandy R Mynhier, PA-C

  • Medical Physician Assistant
  • Georgetown, KY
National Provider Identifier
1285829556
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
200 Bevins LN Ste a
Georgetown, KY 40324-8532
Phone
(502) 863-0722
Fax
(502) 863-0731
NPI assigned
Sep 10, 2007
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

200 Bevins LN Ste a
Georgetown, KY 40324-8532

Mailing address

200 Bevins LN Ste a
Georgetown, KY 40324-8532
Phone (606) 923-7110

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
I20080220000021 KY Practitioner - Physician Assistant 5193809820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Bevins LN
Suite a
Georgetown, KY 40324-8532
Phone (502) 863-0722

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew C Birdwhistell DO LLC Current Accepting new patients
Allen T Griffin II MD LLC Current Accepting new patients
Robert C. Culbertson, M.D., P.S.C. Current Accepting new patients
George Carl Borst III PSC CurrentSince Mar 7, 2010 Accepting new patients
Benjamin P. Lyon, M.D., LLC Current Accepting new patients
Anthony Lewis Martin, D.O. PLLC Current Accepting new patients

Locations

1201 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 326-1101

613 23rd St
Ste 340
Ashland, KY 41101
Phone (606) 326-1101

1138 Lexington Rd
Ste 290
Georgetown, KY 40324
Phone (502) 542-9118

200 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (502) 863-0722

Interoperability endpoints

  • Direct secure messaging: mmynhier19595@direct.kdhealth.us

Organizations & group practices 7

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 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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1285829556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248532",
            "telephone_number": "606-923-7110",
            "fax_number": "502-863-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248532",
            "telephone_number": "502-863-0722",
            "fax_number": "502-863-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNHIER",
        "first_name": "MANDY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.