JDJ Gastro, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JDJ GASTRO, PLLC

Practice address

1915 S Main St
Madisonville, KY 42431-3353

Phone

(270) 344-5473

Fax

(833) 450-6370

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Michael Wayne Rager

Title

President & Ceo;Sole Member;Manager

Phone

(270) 344-5473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E Johnson, MS, PA-C

  • Physician Assistant
  • Madisonville, KY
  • NPI 1780781302
  Medicare reassignment

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1831956663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313353",
            "telephone_number": "270-344-5473",
            "fax_number": "833-450-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 S MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313353",
            "telephone_number": "270-344-5473",
            "fax_number": "833-450-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDJ GASTRO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "RAGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT & CEO;SOLE MEMBER;MANAGER",
        "authorized_official_telephone_number": "270-344-5473"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jacobs, PTA
• James M Kington PSC
• Alexis James, RBT
• Whitney Deanne James, DMD
• Marketa Janson, NP
• Danielle Jennings, APRN
• Mary E Jent, PTA
• Melissa Ann Jett, CSA
• John a Roy DMD PSC
• David E Johnson, MS, PA-C

• Physician Assistant in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.