Active NPI
Jodi A Conley, PA
- Physician Assistant
- Grayson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA355
- Practice address
- 100 Bellefonte Dr
Grayson, KY 41143-1820 - Phone
- (606) 474-0669
- Fax
- (606) 474-0376
- NPI assigned
- Nov 21, 2006
- Last updated
- May 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA355 | KY | Primary |
Addresses
Primary practice location
100 Bellefonte Dr
Grayson, KY 41143-1820
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1071595 | Other | WV | BRICKSTREET/WV COMP |
| 7100055310 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
100 Bellefonte Dr
Grayson, KY 41143-1820
Phone (606) 474-0669
12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 286-8039
710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157
Hospital & facility affiliations
- King's Daughters' Medical Center HHA
- Family Home Health Care, LLC Dba Adoration Home Health
- King's Daughters' Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.16 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA355 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Our Lady of Bellefonte Hospital, Inc. | Past | Accepting new patients | |
| Ashland Emergency Medical Associates | Past | Accepting new patients | |
| Ashland Hospital Corporation | Physician Assistant | Past | Accepting new patients |
| Sanjiv Gupta, M.D., P.S.C. | Past | Accepting new patients |
Locations
1000 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 833-2273
12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963
2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669
Interoperability endpoints
- jconley73345@direct.kdhealth.us
Organizations & group practices 6
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.
-
dba King's Daughters Family Pharmacy #3
- Community/Retail Pharmacy
- Ironton, OH
- NPI 1053748913
KY
-
dba Kings Daughters Medical Center Jackson Medical Specialties
- Rural Health Clinic/Center
- Jackson, OH
- NPI 1356434773
-
- Emergency Medicine Physician
- Ashland, KY
- NPI 1831137058
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
Physician Assistant
-
dba Bellefonte Wound Care Center
- Nurse Practitioner
- Ashland, KY
- NPI 1457545543
-
- Multi-Specialty Clinic/Center
- Ashland, KY
- NPI 1932408218
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Medical Center Home Health
- Home Health Agency
- Ashland, KY
- NPI 1386782050
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1891860599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2379",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052379",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BELLEFONTE DR",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431820",
"telephone_number": "606-474-0669",
"fax_number": "606-474-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "JODI",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET/WV COMP",
"identifier": "1071595",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100055310",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.