Individual provider Active NPI

Joseph T Shelton, PA

  • Physician Assistant
  • Corbin, KY
National Provider Identifier
1316009509
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA324 Issued in KY
Practice address
14662 N US Highway 25 E
Corbin, KY 40701-6425
Phone
(606) 526-9005
Fax
(606) 528-8272
NPI assigned
Dec 14, 2006
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 PA324 KY Primary

Addresses

Primary practice location

14662 N US Highway 25 E
Corbin, KY 40701-6425

Mailing address

121 Bishop St
Corbin, KY 40701-1702
Phone (606) 528-2124

Other identifiers 2

IdentifierTypeStateIssuer
710016047MedicaidKY
PA324OtherKYLICENSE NO.#

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
I20111114000876 KY Practitioner - Physician Assistant 8820262595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14662 N US Hwy 25 E
Corbin, KY 40701-6425
Phone (606) 526-9005

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA324KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince May 1, 2016 Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

121 Bishop St
Corbin, KY 40701
Phone (606) 258-8837

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

21154 Highway 421
Ste 1
Hyden, KY 41749

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

49 W Sycamore St
Williamsburg, KY 40769
Phone (606) 400-6362

Interoperability endpoints

  • Direct secure messaging: jshelton704229@direct.ochin.org

Organizations & group practices 2

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 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1316009509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BISHOP ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011702",
            "telephone_number": "606-528-2124",
            "fax_number": "606-528-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 N US HIGHWAY 25 E",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016425",
            "telephone_number": "606-526-9005",
            "fax_number": "606-528-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710016047",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.#",
            "identifier": "PA324",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.