NPIMap

Individual provider Active NPI

Joseph A Edie, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1639315849
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA411 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-1194
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Dec 18, 2008
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA411 KY
Surgical Physician Assistant 363AS0400X PA411 KY
Physician Assistant 363A00000X PA411 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-1194

Mailing address

234 Medical Cir
Morehead, KY 40351-1194
Phone (606) 783-6641

Other practice location 1

234 Medical Cir
Morehead, KY 40351-1194
Phone (606) 783-6641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000348 KY Practitioner - Physician Assistant 3779775945 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 967-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA411KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Physician Assistant CurrentSince Apr 1, 2025 Accepting new patients
St Claire Medical Center, Inc CurrentSince Sep 1, 2010 Accepting new patients
St Claire Regional Radiology Physicians Services Current Accepting new patients
Black & Carpenter PSC Current Accepting new patients
University of Kentucky CurrentSince Nov 15, 2023 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jan 1, 2021 Accepting new patients
St Claire Medical Center, Inc., Physician Assistant CurrentSince Sep 1, 2010 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jan 1, 2021 Accepting new patients
St. Claire Medical Center Inc. Past Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

234 Medical Cir
Morehead, KY 40351
Phone (606) 784-6641

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

255 Old Viking Dr
Morehead, KY 40351
Phone (606) 784-2774

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Interoperability endpoints

  • Direct secure messaging: jedie316850@ukhcdirect.org
  • Direct secure messaging: jedie409545@direct.stlukeshealth.org

Organizations & group practices 12

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 6

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1639315849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511194",
            "telephone_number": "606-783-6641",
            "fax_number": "606-780-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361194",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511194",
            "country_code": "US",
            "telephone_number": "606-783-6641",
            "fax_number": "606-780-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDIE",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA411",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA411",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.