Justin Sammons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2190 Issued in KY

Practice address

3480 Yorkshire Medical Park
Lexington, KY 40509-1886

Phone

(859) 263-5140

Fax

(859) 263-5141

NPI assigned

Apr 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph London Hospital, London, KY, CCN 180011
• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

Merit-based Incentive Payment System (MIPS)

Final score

44.67 of 100Reported as group

Quality

19.32

Promoting interoperability

0

Improvement activities

40

Cost

79.59

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justinsammons@kysjhspe.allscriptsdirect.net

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.

• Bluegrass Orthopaedics PSC

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1447622394

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD

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

• Georgetown Community Hospital LLC

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1447576483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Lantern Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404756010",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Flemingsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511810",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407448234",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1868 Plaudit Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092429",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Windsor Path",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249617",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Yorkshire Medical Park",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092513",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Hail Knob Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033418",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Cynthia Dr Ste 139",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403568062",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Newcomb Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "404562728",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043602",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "JUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Sana Samar, MD
• Samaritan Alliance L.L.C.
• Samaritan Reliant Geriatric Services, LLC
• Luis Mario Samayoa, MD
• Chelsea Renee Sames, BA, RBT
• Phillip Anthony Sammons
• Elena Samoilova, M.D.
• Kerrigan Maria Samons, MD
• Abdul Aziz Yasin Samoud
• Rajan Sampat

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.