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

Individual provider Physician Assistant · NPI 1104688803

Logan Jacob Mann, PA-C is a Physician Assistant in Winchester, Kentucky. Qualified in 2024, 2 years ago. Practices with Clark Emergency Physicians, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

175 Hospital Dr
Winchester, KY 40391-9591
Phone: (859) 745-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104688803
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address5048 Paddock Loop, Lawrenceburg, KY 40342-1735

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clark Emergency Physicians — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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