Individual provider Active NPI

Pamela L Newsome, PAC

  • Medical Physician Assistant
  • Pikeville, KY
National Provider Identifier
1508842097
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA652 Issued in KY
Practice address
178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone
(606) 639-3135
Fax
(606) 639-3136
NPI assigned
Dec 16, 2005
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA652 KY
Medical Physician Assistant 363AM0700X PA652 KY Primary

Addresses

Primary practice location

178 Douglas Pkwy
Pikeville, KY 41501-6970

Mailing address

1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9101
Phone (606) 886-8546

Other identifiers 1

IdentifierTypeStateIssuer
95005856MedicaidKY

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
I20050929000014 KY Practitioner - Physician Assistant 0547295404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Health Care, IncGroup PAC ID 1951211218, shared by 17 NPIs, 51 clinicians

Practice addresses (Care Compare)

178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone (606) 639-3135

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA652KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care Inc CurrentSince Oct 24, 2005 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Oct 24, 2005 Accepting new patients
Big Sandy Health Care Inc CurrentSince Jun 8, 2025 Accepting new patients
Big Sandy Health Care Inc CurrentSince Jun 3, 2024 Accepting new patients
Tri-State Sports and Rehab, PSC Past Accepting new patients
Big Sandy Health Care Inc Past Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

136 Park Rd
Freeburn, KY 41528
Phone (606) 984-5484

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

5230 Ky Route 321
Ste 2
Prestonsburg, KY 41653
Phone (606) 886-6565

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Interoperability endpoints

  • Direct secure messaging: newsome.pamela.008.0170011@bshc.meditab.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1508842097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539101",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 DOUGLAS PKWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016970",
            "telephone_number": "606-639-3135",
            "fax_number": "606-639-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA652",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005856",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.