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

Mr. John Kelly McCormick, PA

Individual provider Medical Physician Assistant · NPI 1174277966

Mr. John Kelly McCormick, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2022, 4 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

740 S Limestone Ste B101
Lexington, KY 40536-4302
Phone: (859) 323-5661
Fax: (859) 323-6411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 436 Cromwell Way, Lexington, KY 40503-4302 — (502) 415-2447

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC316 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC316 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC316 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174277966
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 9, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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