Melynda Matherly, P.A. C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA591 Issued in KY

Practice address

111 Daniel Dr
Danville, KY 40422-2527

Phone

(859) 236-0916

Fax

(859) 236-0917

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

University of Kentucky College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salli Smith Slone, MD, PSCGroup PAC ID 1254366446, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048
• The James B. Haggin Memorial Hospital Hospital, Harrodsburg, KY, CCN 181302

Merit-based Incentive Payment System (MIPS)

Final score

92.97 of 100Reported as group

Quality

85.95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Salli Smith Slone, MD, PSC

  • Dermatology Physician
  • Danville, KY
  • NPI 1689863722

  KY

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephraim McDowell Regional Medical Center Incorporated

  • Rehabilitation Hospital Unit
  • Danville, KY
  • NPI 1639360472

  Hospital

  Care Compare affiliation
• Ephraim McDowell Regional Medical Center Incorporated

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1821135963

  Hospital

  Care Compare affiliation
• The James B. Haggin Memorial Hospital Inc

  • Critical Access Hospital
  • Harrodsburg, KY
  • NPI 1902862824

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1295727592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230006",
            "telephone_number": "859-236-0916",
            "fax_number": "859-236-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-0916",
            "fax_number": "859-236-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERLY",
        "first_name": "MELYNDA",
        "name_prefix": "Mrs.",
        "credential": "P.A.  C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500395000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurin Whitlea Marcum
• Christopher Alan Marek, M.D.
• Marlin K. Sparks Management Company Inc
• Donald Mikael Marshall, D.C.
• George Martin
• Donna B. Matthews, RPH
• Krista Allison McCoy, PT
• McDowell Home Health Agency, Inc.
• Sheena McGuffey, ACNP
• Teresa McIlvoy, APRN

• All providers in Danville, KY
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.