Individual provider Active NPI

James A Dalton, PA-C

  • Medical Physician Assistant
  • Prestonsburg, KY
National Provider Identifier
1790788180
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA682 Issued in KY
Practice address
1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653
Phone
(606) 886-0892
Fax
(606) 886-9746
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA682 KY Primary

Addresses

Primary practice location

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653

Mailing address

1573 Mallory LN
Ste 100
Brentwood, TN 37027-2895
Phone (615) 221-3855

Other practice location 1

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Other practice location 2

609 N Carol Malone Blvd
Grayson, KY 41143-1123
Phone (606) 474-7892

Other practice location 3

645 Interstate Dr
Grayson, KY 41143-1704
Phone (606) 474-0669

Other identifiers 4

IdentifierTypeStateIssuer
970019230OtherKYMEDICARE RAILROAD
363A00000XMedicaidKY
0072290MedicaidOH
95001673MedicaidKY

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
I20041103000261 KY Practitioner - Physician Assistant 3870555618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone (606) 886-0890

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

2483 Hwy 644
Louisa, KY 41230-9242
Phone (606) 324-4745

336 N Mayo TRL
Paintsville, KY 41240-1804
Phone (606) 789-8666

354 N Mayo Trail
Paintsville, KY 41240-1804
Phone (606) 327-0224

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.14

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA682KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc Physician Assistant CurrentSince Apr 1, 2005 Accepting new patients
King'S Daughters Medical Specialties, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Ashland Hospital Corporation Physician Assistant CurrentSince Apr 12, 2014 Accepting new patients
Ashland Hospital Corporation CurrentSince Apr 12, 2014 Accepting new patients
Ashland Hospital Corporation Physician Assistant Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 1, 2014 Accepting new patients
Urology Center of Northeastern Ky Past Accepting new patients
Three Rivers Medical Clinics Inc Past Accepting new patients
Kings Daughters Medical Specialties Inc Physician Assistant Past Accepting new patients

Locations

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

336 29th St
Ashland, KY 41101
Phone (606) 324-4404

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

609 N Carol Malone Blvd
Grayson, KY 41143
Phone (606) 324-1070

2160 Blacklog Rd
Ste 120
Inez, KY 41224
Phone (606) 298-5028

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

1061 Kenwood Dr
Russell, KY 41169
Phone (606) 326-1675

1573 Mallory Ln
Ste 100
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: jdalton13069@direct.kdhealth.us

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1790788180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN",
            "address_2": "STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895",
            "telephone_number": "615-221-3855",
            "fax_number": "615-221-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 OLD ABBOTT MOUNTAIN RD",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012843",
            "country_code": "US",
            "telephone_number": "606-408-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 N Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431123",
            "country_code": "US",
            "telephone_number": "606-474-7892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Interstate Dr",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431704",
            "country_code": "US",
            "telephone_number": "606-474-0669",
            "fax_number": "606-474-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970019230",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363A00000X",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072290",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95001673",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.