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

Jered Waggoner, PA-C

Individual provider Physician Assistant · NPI 1467078865

Jered Waggoner, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2021, 5 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2020
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Uk Surgery Clinic - Cardiothoracic 740 S Limestone Ste L304
Lexington, KY 40536
Phone: (859) 323-6494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 261 Applegrove Dr, Nicholasville, KY 40356-2328 — (859) 489-2661

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC030 (KY)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC030 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC030 (KY)

Record details

NPI number1467078865
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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