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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. TRACEY GREGORY MAYNOR PAC
NPI 1043219520
Physician Assistant in Louisville, KY

Active since July 18, 2005
4003 KRESGE WAY, #221, LOUISVILLE, KY 40207(502) 897-7107(502) 897-7613 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracey Gregory Maynor Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACEY GREGORY MAYNOR PAC (NPI 1043219520) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA 549) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1043219520
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TRACEY GREGORY MAYNORCredential: PAC
Location Address4003 KRESGE WAY, #221Louisville, KY 40207-4652
Mailing Address4003 Kresge Way, #221Louisville, KY 40207-4652 · (502) 897-7107 · Fax (502) 897-7613
Phone(502) 897-7107
Fax(502) 897-7613
Sole ProprietorNo
Enumeration DateJuly 18, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1043219520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA 549
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4003 KRESGE WAY, Louisville, KY 40207
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Other Names 1

Former Name (1)Tracey Dann Gregory Pac

Other Identifiers 1

Medicaid9500175600KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SALEM MICHAEL GEORGE JR. MD
Surgery (Vascular Surgery)
4003 KRESGE WAY, SUITE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
DR. MARK EDWIN ESTERLE M.D.
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY, SUITE 312
LOUISVILLE, KY 40207
Jefferson County (502) 899-7377
CORTLANDT AUSER NORRIS APRN, FNP-C
Nurse Practitioner (Family)
4003 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
MR. STANLEY S. CHMIEL M.D.
Otolaryngology
4003 KRESGE WAY, STE 227
LOUISVILLE, KY 40207
Jefferson County (502) 893-3342
CAROLE C. SCHARF M.D.
Radiology (Radiation Oncology)
4003 KRESGE WAY, SUITE 115
LOUISVILLE, KY 40207
Jefferson County (502) 897-8163
ADRIAN J PELLEGRINI M.D.
Psychiatry & Neurology (Psychiatry)
4003 KRESGE WAY, STE 224
LOUISVILLE, KY 40207
Jefferson County (502) 899-9980
ANNA LAURA TRIMBUR ARNP
Nurse Practitioner (Family)
4003 KRESGE WAY, STE 312
LOUISVILLE, KY 40207
Jefferson County (502) 899-7377
MAHA BOTROS MIKHAIL WASSEF MD
Internal Medicine (Cardiovascular Disease)
4003 KRESGE WAY, SUITE 221
LOUISVILLE, KY 40207
Jefferson County (502) 897-7107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Maynor's NPI number?

The NPI number for Tracey Maynor is 1043219520. It was assigned to this individual provider in the NPPES registry on July 18, 2005. The provider is also known as Tracey Dann Gregory Pac.

Where is Tracey Maynor located?

Tracey Maynor practices at 4003 Kresge Way #221, Louisville, KY 40207. The listed phone number is (502) 897-7107.

What is Tracey Maynor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tracey Maynor was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.