Active NPI
Carly Unger Herrin, PA
- Physician Assistant
- Paducah, KY
National Provider Identifier
1487109930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC493
- Practice address
- 3101 Parisa Dr
Paducah, KY 42003-4584 - Phone
- (270) 444-8477
- Fax
- (270) 444-8479
- NPI assigned
- Aug 24, 2016
- Last updated
- Mar 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC493 | KY | Primary |
Addresses
Primary practice location
3101 Parisa Dr
Paducah, KY 42003-4584
Mailing address
3101 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 444-8477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3101 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 444-8477
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.1 of 100
- Quality
- 88.86
- Improvement activities
- 40
- Cost
- 51.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC493 | KY | MD | Physician Assistant |
Interoperability endpoints
- cunger@paducahderm.emadirect.md
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1487109930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 PARISA DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034584",
"telephone_number": "270-444-8477",
"fax_number": "270-444-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 PARISA DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034584",
"telephone_number": "270-444-8477",
"fax_number": "270-444-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "CARLY",
"middle_name": "UNGER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.