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

Mattie Childress, PA-C

Individual provider Physician Assistant · NPI 1811880545

Mattie Childress, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2025, 1 year ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
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

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone: (859) 260-6348
Fax: (859) 260-4350
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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 TC110 (KY)

Record details

NPI number1811880545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESNovember 23, 2025
Certification dateNovember 23, 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 Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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