NPIMap

Individual provider Active NPI

Effie E Lary, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1649245440
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC079 Issued in KY
Practice address
210 E Gray St Ste 1105
Louisville, KY 40202-3907
Phone
(502) 583-1697
Fax
(919) 385-9353
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102536 FL
Physician Assistant 363A00000X 0110007853 VA
Physician Assistant 363A00000X TC079 KY Primary

Addresses

Primary practice location

210 E Gray St Ste 1105
Louisville, KY 40202-3907

Mailing address

200 Trent Dr # 1B1C
Durham, NC 27710-8568
Phone (919) 684-7777

Other practice location 1

1080 First Colonial Rd Ste 400
Virginia Beach, VA 23454-2406
Phone (757) 395-8720

Other names 1

  • Effie Burk Former name

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
I20240507002576 KY Practitioner - Physician Assistant 4789577362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

210 E Gray St
Suite 1105
Louisville, KY 40202-3907
Phone (502) 583-1697

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9102536FLMDPhysician Assistant
TC079KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Community Medical Associates, Inc. Physician Assistant Past Accepting new patients
Orange Park Neurosurgery P.L. Past Accepting new patients
Florida Infectious Disease Associates PA PastSince Jun 8, 2015 Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

Interoperability endpoints

  • Direct secure messaging: leffie511183@direct.medicine.duke.edu
  • Direct secure messaging: elary280802@direct.nortonhealthcare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1649245440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENT DR # 1B1C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277108568",
            "telephone_number": "919-684-7777",
            "fax_number": "919-385-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST STE 1105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023907",
            "telephone_number": "502-583-1697",
            "fax_number": "919-385-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 First Colonial Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542406",
            "country_code": "US",
            "telephone_number": "757-395-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARY",
        "first_name": "EFFIE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-11-30",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102536",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007853",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EFFIE",
            "last_name": "BURK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.