Individual provider Active NPI

Sheila Elaine Thornsberry, PAC

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1447238357
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA254 Issued in KY
Practice address
1055 Dove Run Rd
Lexington, KY 40502
Phone
(859) 269-4668
Fax
(859) 266-5577
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA254 KY Primary
Physician Assistant 363A00000X PA254 KY

Addresses

Primary practice location

1055 Dove Run Rd
Lexington, KY 40502

Mailing address

1055 Dove Run Rd
Suite 200
Lexington, KY 40502
Phone (859) 269-4668

Other identifiers 1

IdentifierTypeStateIssuer
95000154MedicaidKY

Other names 1

  • Sheila Banks Former 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
I20040412001300 KY Practitioner - Physician Assistant 9436143518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1825 Airport Exchange Blvd
Suite 100
Erlanger, KY 41018-3900
Phone (859) 647-6228

2424 Sir Barton Way
Suite 175
Lexington, KY 40509-2531
Phone (859) 233-4882

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jun 1, 2016 Accepting new patients
American Current Care PA CurrentSince Jun 1, 2016 Accepting new patients
North Lexington Urgent Treatment Associates PSC Medical Past Accepting new patients
South Lexington Urgent Treatment Associates, PSC Past Accepting new patients

Locations

1825 Airport Exchange Blvd
Ste 100
Erlanger, KY 41018
Phone (859) 647-6228

2424 Sir Barton Way
Ste 175
Lexington, KY 40509
Phone (859) 233-4882

1498 Boardwalk
Lexington, KY 40511
Phone (859) 254-5520

1055 Dove Run Rd
Lexington, KY 40502
Phone (606) 269-4668

1722 Sharkey Way
Lexington, KY 40511
Phone (859) 245-0692

1055 Dove Run Rd
Ste 200
Lexington, KY 40502
Phone (859) 269-4668

204 Bellaire Dr
Nicholasville, KY 40356
Phone (859) 887-4882

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1447238357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-269-4668",
            "fax_number": "859-266-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-269-4668",
            "fax_number": "859-266-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNSBERRY",
        "first_name": "SHEILA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA254",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000154",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "BANKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.