Autumn Rose Ballard, PA-C

Key facts

NPI

1811518541

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

PA2724 (KY)

Practice address

101 Medical Heights Dr Ste a
Frankfort, KY 40601-4137

Phone

(502) 223-5758

Fax

(502) 223-0047

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 9

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.

• New Lexington Clinic, PSC Multi-Specialty Clinic/Center · Lexington, KY · NPI 1700803681
  Medicare reassignment Care Compare group NPD KY
• Family & Internal Medicine Associates PLLC Family Medicine Physician · Lebanon, KY · NPI 1780682609
  Medicare reassignment KY
• VMD Primary Providers Central Kentucky Internal Medicine Physician · Murray, KY · NPI 1831674654
  Medicare reassignment KY
• New Lexington Clinic PSC Ambulatory Surgical Clinic/Center · Lexington, KY · NPI 1093595696
  Care Compare group
• New Lexington Clinic, PSC Clinical Medical Laboratory · Lexington, KY · NPI 1144321951
  Care Compare group
• New Lexington Clinic, PSC Ambulatory Surgical Clinic/Center · Lexington, KY · NPI 1881789964
  Care Compare group
• New Lexington Clinic PSC Clinical Medical Laboratory · Lexington, KY · NPI 1285409425
  NPD
• Primary Care Medical Center Inc Family Medicine Physician · Murray, KY · NPI 1295716694
  NPD
• VMD Primary Providers Central Kentucky Rural Health Clinic/Center · Lebanon, KY · NPI 1063120194
  NPD

Hospital & facility affiliations 2

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

• Frankfort Hospital, Inc. General Acute Care Hospital · Frankfort, KY · NPI 1427095488
  Care Compare affiliation Hospital
• Georgetown Community Hospital LLC Rural Acute Care Hospital · Georgetown, KY · NPI 1326107319
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Lexington Clinic PSC (329 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frankfort Regional Medical Center Hospital · Frankfort, KY · CCN 180127
• Georgetown Community Hospital Hospital · Georgetown, KY · CCN 180101

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: autumn.ballard.1@13059.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Autumn Rose Keene Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2026.

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1811518541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL HEIGHTS DR STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014137",
            "telephone_number": "502-223-5758",
            "fax_number": "502-223-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Lexington Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249330",
            "country_code": "US",
            "telephone_number": "859-258-6450",
            "fax_number": "859-258-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "AUTUMN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100711060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "KEENE",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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