Individual provider Active NPI

Phillip Andrew Williford, PA-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1922386804
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TC030 Issued in KY
Practice address
3094 Harrodsburg Rd Ste 201
Lexington, KY 40503-2897
Phone
(859) 605-8060
Fax
(859) 605-8061
NPI assigned
Jul 27, 2011
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 PA1679 KY
Medical Physician Assistant 363AM0700X TC030 KY Primary

Addresses

Primary practice location

3094 Harrodsburg Rd Ste 201
Lexington, KY 40503-2897

Mailing address

295 Runnymeade Dr
Winchester, KY 40391-8771
Phone (270) 227-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TC030KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Med Current Accepting new patients
Journey Health CurrentSince Apr 6, 2025 Accepting new patients
Access Med, PLLC Current Accepting new patients
Marshall Emergency Services Associates, PLLC Physician Assistant Past Accepting new patients

Locations

3094 Harrodsburg Rd
Ste 201
Lexington, KY 40503
Phone (859) 605-8060

535 Wellington Way
Ste 330
Lexington, KY 40503
Phone (859) 439-0400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1922386804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 RUNNYMEADE DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918771",
            "telephone_number": "270-227-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 HARRODSBURG RD STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032897",
            "telephone_number": "859-605-8060",
            "fax_number": "859-605-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "PHILLIP",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1679",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.