Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Michael Polston, PA-C

Individual provider Physician Assistant · NPI 1902178965

David Michael Polston, PA-C is a Physician Assistant in Fort Campbell, Kentucky. Qualified in 2011, 15 years ago. Practices with Quality Acute Care PA, a 7-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

650 Joel Dr Attention: Credentials Ofc
Fort Campbell, KY 42223-5318
Phone: (270) 798-8130
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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 1103385 (TN)

Record details

NPI number1902178965
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2012
Last updated in NPPESFebruary 6, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Quality Acute Care Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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