Individual provider Active NPI

Amanda M Johns, DO

  • Dermatology Physician
  • Lexington, KY
National Provider Identifier
1679035091
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
05494 Issued in KY
Practice address
2424 Sir Barton Way Ste 125
Lexington, KY 40509-2522
Phone
(859) 203-6990
Fax
(859) 203-6991
NPI assigned
Apr 3, 2019
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 05494 KY Primary

Addresses

Primary practice location

2424 Sir Barton Way Ste 125
Lexington, KY 40509-2522

Mailing address

2424 Sir Barton Way Ste 125
Lexington, KY 40509-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230817002021 KY Practitioner - Dermatology 1951630946 Reassigns benefits to 2 organizations
I20241216001854 VA Practitioner - Dermatology 1951630946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Skin SpecialistsGroup PAC ID 0143494203, 17 clinicians

Practice addresses (Care Compare)

2424 Sir Barton Way
Suite 125
Lexington, KY 40509-2522
Phone (540) 951-3376

3706 S Main St
Suite B
Blacksburg, VA 24060-7006
Phone (540) 951-3376

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions507
Removal or shaving of skin growth1-10
Skin biopsy162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Skin Specialists Kentucky PL LC Dermatology CurrentSince Nov 22, 2025 Accepting new patients
Valley Skin Specialists CurrentSince Nov 1, 2024 Accepting new patients
Modern Dermatology of Kentucky LLC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Kentucky Dermatology and Skin Cancer Clinic, PSC Dermatology Past Accepting new patients

Locations

161 Lexington Green Cir
Ste 100
Lexington, KY 40503
Phone (859) 276-1511

169 Burt Rd
Lexington, KY 40503
Phone (859) 278-9242

177 Burt Rd
Lexington, KY 40503
Phone (859) 276-1511

2424 Sir Barton Way
Ste 125
Lexington, KY 40509
Phone (859) 203-6990

1750 Highway 192 W
Ste 8
London, KY 40741
Phone (606) 878-5590

3706 S Main St
Ste B
Blacksburg, VA 24060
Phone (540) 951-3376

Organizations & group practices 4

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1679035091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SIR BARTON WAY STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SIR BARTON WAY STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092522",
            "telephone_number": "859-203-6990",
            "fax_number": "859-203-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "05494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.