Individual provider Active NPI

Mary Kendall McCarty, PA-C

  • Medical Physician Assistant
  • Winchester, KY
National Provider Identifier
1720478936
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1976 Issued in KY
Practice address
404 Shoppers Dr
Winchester, KY 40391-1301
Phone
(859) 737-5333
Fax
(859) 737-0070
NPI assigned
Jan 26, 2015
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1976 KY Primary

Addresses

Primary practice location

404 Shoppers Dr
Winchester, KY 40391-1301

Mailing address

404 Shoppers Dr
Winchester, KY 40391-1378
Phone (859) 737-5333

Other practice location 1

5 Linville Dr Ste 102
Paris, KY 40361-2165
Phone (502) 570-3754

Other practice location 2

235 Boggs Ln Ste 7
Richmond, KY 40475-3325
Phone (859) 625-9959

Other practice location 3

360 Amsden Ave Ste 400
Versailles, KY 40383-1855
Phone (859) 737-5333

Other practice location 4

1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673
Phone (502) 570-3754

Other practice location 5

279 Kings Daughters Dr Ste 203
Frankfort, KY 40601-6562
Phone (859) 737-5333

Other identifiers 1

IdentifierTypeStateIssuer
7100354540MedicaidKY

Other names 1

  • Kendall McCarty Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150622001802 KY Practitioner - Physician Assistant 2668783325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

1138 Lexington Rd
Suite 110
Georgetown, KY 40324-9673
Phone (502) 570-3754

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

404 Shoppers Dr
Winchester, KY 40391-1301
Phone (859) 737-5333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopaedics & Spine PLLC CurrentSince Jul 1, 2024 Accepting new patients
Kentucky Orthopaedics & Spine PLLC CurrentSince Jul 1, 2024 Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients

Locations

1138 Lexington Rd
Ste 110
Georgetown, KY 40324
Phone (502) 570-3754

5 Linville Dr
Ste 102
Paris, KY 40361
Phone (502) 570-3754

235 Boggs Ln
Ste 7
Richmond, KY 40475
Phone (859) 625-9959

360 Amsden Ave
Ste 400
Versailles, KY 40383
Phone (859) 737-5333

404 Shoppers Dr
Winchester, KY 40391
Phone (859) 737-5333

Interoperability endpoints

  • Direct secure messaging: mary.warner.1@19475.direct.athenahealth.com

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1720478936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911378",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911301",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Linville Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403612165",
            "country_code": "US",
            "telephone_number": "502-570-3754",
            "fax_number": "502-570-3756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Boggs Ln Ste 7",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753325",
            "country_code": "US",
            "telephone_number": "859-625-9959",
            "fax_number": "859-625-9958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Amsden Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831855",
            "country_code": "US",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1138 Lexington Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249673",
            "country_code": "US",
            "telephone_number": "502-570-3754",
            "fax_number": "502-570-3756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Kings Daughters Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016562",
            "country_code": "US",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MARY",
        "middle_name": "KENDALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100354540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "MCCARTY",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.