Individual provider Active NPI

Lora Leigh Conley, PAC

  • Physician Assistant
  • Prestonsburg, KY
National Provider Identifier
1467555839
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA943
Practice address
535 N Lake Dr
Prestonsburg, KY 41653-1278
Phone
(606) 886-8466
Fax
(606) 886-0250
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 PA943 Primary

Addresses

Primary practice location

535 N Lake Dr
Prestonsburg, KY 41653-1278

Mailing address

535 N Lake Dr
Prestonsburg, KY 41653-1278
Phone (606) 886-8466

Other practice location 1

4851 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-3831

Other identifiers 1

IdentifierTypeStateIssuer
7100370310MedicaidKY

Other names 1

  • Miss Lora Leigh Bailey 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
I20070716000235 KY Practitioner - Physician Assistant 8820198161 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Jan 24, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jan 24, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. Physician Assistant Past Accepting new patients
Frontier Medical Associates of Paintsville Inc Physician Assistant Past Accepting new patients

Locations

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

535 N Lake Dr
Prestonsburg, KY 41653
Phone (606) 372-1239

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1467555839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-886-8466",
            "fax_number": "606-886-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-886-8466",
            "fax_number": "606-886-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 Ky Route 321",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-886-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "LORA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100370310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "BAILEY",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.