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

Kori Madison Place, PA-C

Individual provider Physician Assistant · NPI 1225814403

Kori Madison Place, PA-C is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2023, 3 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
3
Licensed in
NH
In the registry since
2023
Specialties on file
2
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

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-5000
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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 2121 (NH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225814403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2023
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lebanon