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

Mr. Jonathon Lee Ennis, PAC

Individual provider Physician Assistant · NPI 1497267637

Mr. Jonathon Lee Ennis, PAC is a Physician Assistant in Springfield, Kentucky. Qualified in 2017, 9 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

805 Bardstown Rd
Springfield, KY 40069
Phone: (859) 481-7113
Fax: (859) 481-7114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 120 Executive Park, Louisville, KY 40207-4201 — (502) 855-7200
  • 100 Tates Dr, Springfield, KY 40069-1598 — (502) 507-0976
  • 100 Tates Dr, Springfield, KY 40069-1598 — (502) 507-0976

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (KY)

Record details

NPI number1497267637
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 27, 2017
Last updated in NPPESMarch 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare