Terry W Boone, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1128 Issued in KY

Practice address

308 S Main St
Marion, KY 42064-1545

Phone

(270) 965-4377

Fax

(270) 965-9569

NPI assigned

Jun 12, 2008

Last updated

Apr 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Tri-Rivers Healthcare PLLCGroup PAC ID 8426965278, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Livingston Hospital and Healthcare Services, Inc Hospital, Salem, KY, CCN 181320
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terry.boone.1@17246.direct.athenahealth.com

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.

• Tri-Rivers Healthcare PLLC

  dba Smithland Medical Clinic

  • Rural Health Clinic/Center
  • Smithland, KY
  • NPI 1598885998
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment Care Compare group
• Tri-Rivers Healthcare PLLC

  dba Marion Physicians Clinic

  • Rural Health Clinic/Center
  • Marion, KY
  • NPI 1699895003

  Medical

  NPD

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

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Livingston Hospital and Healthcare Services, Inc.

  • Critical Access Hospital
  • Salem, KY
  • NPI 1588640254
  Care Compare affiliation

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1649430778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420780347",
            "telephone_number": "270-988-3298",
            "fax_number": "270-988-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641545",
            "telephone_number": "270-965-4377",
            "fax_number": "270-965-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Hospital Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "KY",
            "postal_code": "420788043",
            "country_code": "US",
            "telephone_number": "270-988-3298",
            "fax_number": "270-988-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "TERRY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100064700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Air Evac EMS, Inc (Air Evac Lifeteam)
• Amber N Biggers, APRN
• Bradley A Boone, PHARM. D.
• Lee Anna Boone, APRN
• Ashley Dawn Brown, PHARMD
• Alicia H Clark, APRN
• Pamela Lee Clevenger, R.N.
• Rachel Nakay Collins
• Stuart Collins, R.PH.

• Medical Physician Assistant in Marion, KY
• Providers in Marion, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.

Verify at the official NPI Registry.