Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colby Joeann Dupin, PA

Individual provider Medical Physician Assistant · NPI 1194516179

Colby Joeann Dupin, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2025, 1 year ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

740 S Limestone Ste L119
Lexington, KY 40536-7001
Phone: (859) 257-3253
Fax: (859) 323-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC080 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC080 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC080 (KY)

Record details

NPI number1194516179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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