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MATTIE CHILDRESS PA-C
NPI 1811880545
Physician Assistant in Lexington, KY

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6348(859) 260-4350 Get Directions Write a Review

NPPES record last updated: November 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About Mattie Childress Pa-c NPPES

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

MATTIE CHILDRESS PA-C (NPI 1811880545) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC110) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811880545
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMATTIE CHILDRESSCredential: PA-C
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address1740 Nicholasville RdLexington, KY 40503-1431 · (859) 260-6348 · Fax (859) 260-4350
Phone(859) 260-6348
Fax(859) 260-4350
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 2, 2025
Last NPPES UpdateNovember 23, 20252 updates tracked since enumeration
NPPES CertifiedNovember 23, 2025
✔ NPI 1811880545 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 · TC110
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.
1740 NICHOLASVILLE RD, Lexington, KY 40503
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Other Names 1

Former Name (1)Mattie Klein Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mattie Childress Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244733384
PECOS Enrollment IDI20250912003535
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. JAMES RANSOM ADAIR PA-C
Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 277-8179
MR. DANNY LEE PERRY
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6659
TYLER BENNETT MCLAURINE
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
KENTUCKY BREAST IMAGING PLLC
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Fayette County (877) 459-2290
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6104
JOSHUA ADAM WIRTH
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
DR. LAYLA MAREFAT PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100
DR. THOMAS L BROSTER M.D.
Anesthesiology
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100

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 Mattie Childress's NPI number?

The NPI number for Mattie Childress is 1811880545. It was assigned to this individual provider in the NPPES registry on June 2, 2025. The provider is also known as Mattie Klein PA.

Where is Mattie Childress located?

Mattie Childress practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6348.

What is Mattie Childress's specialty?

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

Is Mattie Childress enrolled in Medicare?

Yes. Mattie Childress is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mattie Childress affiliated with any hospitals?

According to CMS data, Mattie Childress is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mattie Childress was last updated on November 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.