NPIMap

Individual provider Active NPI

Amanda Marie Cothern, M.D.

  • Family Medicine Physician
  • Shepherdsville, KY
National Provider Identifier
1326401555
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP602 Issued in KY
Practice address
115 Huston Dr Ste 1
Shepherdsville, KY 40165-7250
Phone
(502) 955-7311
Fax
(502) 955-9694
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TP602 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

115 Huston Dr Ste 1
Shepherdsville, KY 40165-7250

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acothern230560@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808000911 KY Practitioner - Family Practice 7214265339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

115 Huston Dr
Suite 1
Shepherdsville, KY 40165-7250
Phone (502) 955-7311

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP602KYMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 31, 2022 Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Mar 31, 2022 Accepting new patients

Locations

157 Towne Dr
Ste 103
Elizabethtown, KY 42701
Phone (270) 765-5926

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

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311

Organizations & group practices 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1326401555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HUSTON DR STE 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657250",
            "telephone_number": "502-955-7311",
            "fax_number": "502-955-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHERN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP602",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acothern230560@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "115 Huston Dr Ste 1",
            "city": "Shepherdsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "401657250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.