Active NPI
Phillip Andrew Williford, PA-C
- Medical Physician Assistant
- Lexington, KY
National Provider Identifier
1922386804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- TC030
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TC030 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Med | Current | Accepting new patients | |
| Journey Health | Current | 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.
-
- Family Medicine Physician
- Danville, KY
- NPI 1053967182
-
- Primary Care Clinic/Center
- Danville, KY
- NPI 1780177618
-
- Family Medicine Physician
- Lexington, KY
- NPI 1225822372
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Physician Assistant
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.