Individual provider Active NPI

Aaron Luke Carlson, PA-C

  • Physician Assistant
  • Madison, IN
National Provider Identifier
1679087183
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004817A Issued in IN
Practice address
311 E Clifty Dr
Madison, IN 47250-4621
Phone
(812) 551-2109
NPI assigned
Nov 20, 2017
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 10004817A IN Primary
Physician Assistant 363A00000X PA3442 KY
Athletic Trainer 2255A2300X

Addresses

Primary practice location

311 E Clifty Dr
Madison, IN 47250-4621

Mailing address

311 E Clifty Dr
Madison, IN 47250-4621
Phone (812) 551-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002601 KY Practitioner - Physician Assistant 3072044536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10004817AINMDPhysician Assistant
PA3442KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Park Duvalle Community Health Center, Inc. Current Accepting new patients
Park Duvalle Community Health Center, Inc CurrentSince Sep 23, 2024 Accepting new patients
Park Duvalle Community Health Center, Inc CurrentSince Jun 30, 2024 Accepting new patients
Madison Pediatric Wellness Center Physician Assistant Past Accepting new patients

Locations

500 W Broadway St
Eminence, KY 40019
Phone (502) 772-5034

3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401

Organizations & group practices 5

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1679087183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504621",
            "telephone_number": "812-551-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504621",
            "telephone_number": "812-551-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "AARON",
        "middle_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004817A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3442",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.