Individual provider Active NPI

Samantha Terry, PA

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1821071408
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA726 Issued in KY
Practice address
1401 Harrodsburg Rd Ste A120
Lexington, KY 40504-3779
Phone
(859) 258-6784
Fax
(859) 258-6796
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 PA726 KY
Surgical Physician Assistant 363AS0400X PA726 KY
Medical Physician Assistant 363AM0700X PA726 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste A120
Lexington, KY 40504-3779

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other identifiers 1

IdentifierTypeStateIssuer
95004040MedicaidKY

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
I20040216000586 KY Practitioner - Physician Assistant 5597650069 Reassigns benefits to 2 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
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1207 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

1225 S Broadway
Suite 201
Lexington, KY 40504-2701
Phone (859) 258-4568

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA726KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Aug 19, 2024 Accepting new patients
University of Kentucky CurrentSince May 11, 2017 Accepting new patients
New Lexington Clinic, PSC CurrentSince Aug 19, 2024 Accepting new patients

Locations

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1401 Harrodsburg Rd
Ste A120
Lexington, KY 40504
Phone (859) 258-6520

1401 Harrodsburg Rd
Ste B275
Lexington, KY 40504
Phone (859) 277-9436

1720 Nicholasville Rd
Ste 502
Lexington, KY 40503
Phone (859) 277-7129

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

1760 Nicholasville Rd
Ste 603
Lexington, KY 40503
Phone (859) 260-6370

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1401 Harrodsburg Rd
Ste C100
Lexington, KY 40504
Phone (859) 278-2334

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Interoperability endpoints

  • Direct secure messaging: sterry23268@ukhcdirect.org
  • Direct secure messaging: samantha.terry.1@13059.direct.athenahealth.com
  • Direct secure messaging: sterry390403@direct.stlukeshealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1821071408",
    "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": "1401 HARRODSBURG RD STE A120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043779",
            "telephone_number": "859-258-6784",
            "fax_number": "859-258-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA726",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA726",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.