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PADUCAH DERMATOLOGY PLLC
NPI 1831242551
Dermatology in Paducah, KY

Active since January 18, 2007
3101 PARISA DR, PADUCAH, KY 42003(270) 444-8477(270) 444-8479 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2018, Jun 25, 2018 (2 updates tracked since 2018).

About Paducah Dermatology Pllc NPPES

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

PADUCAH DERMATOLOGY PLLC (NPI 1831242551) is a healthcare organization registered as a dermatology in Paducah, Kentucky and active in the NPI registry since January 2007. The organization lists Halden Heath Ford, Owner, as its authorized official.

NPPES Registry Identity

NPI1831242551
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePADUCAH DERMATOLOGY PLLC
Location Address3101 PARISA DRPaducah, KY 42003
Mailing Address3101 Parisa DrPaducah, KY 42003-4584 · (270) 444-8477 · Fax (270) 444-8479
Phone(270) 444-8477
Fax(270) 444-8479
Organization SubpartNo
Authorized OfficialHalden Heath FordOwner · (270) 444-8477
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 8, 20182 updates tracked since enumeration
✔ NPI 1831242551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in KY · 32680
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3101 PARISA DR, Paducah, KY 42003
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Other Identifiers 1

Medicaid65940298KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paducah Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Paducah Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Christy Hart, APRN
Nurse Practitioner
NPI 1861615106
3101 PARISA DR
Paducah, KY 42003
(270) 444-8477
✔ PECOS✔ Accepts MedicareSame address
Joseph Blackmon, M.D.
Dermatology
NPI 1003133901
3101 PARISA DR
Paducah, KY 42003
(270) 444-8477
✔ PECOS✔ Accepts MedicareSame address
Halden Ford, M.D.
Dermatology
NPI 1396747846
3101 PARISA DR
Paducah, KY 42003
(270) 444-8477
✔ PECOS✔ Accepts MedicareSame address
Brittany Wrather, APRN
Nurse Practitioner
NPI 1568148567
3101 PARISA DR
Paducah, KY 42003
(270) 444-8477
✔ PECOS✔ Accepts MedicareSame address
Tanya Cobb, APRN
Nurse Practitioner
NPI 1457904526
2501 KENTUCKY AVE
Paducah, KY 42003
(270) 575-8472
✔ PECOS✔ Accepts Medicare0.7 mi
Tina Kelly, MSN, FNP-C
Nurse Practitioner
NPI 1871277285
MCCOY MEDICAL 1324 SOUTH HOME STREET
Union City, TN 38261
(731) 885-8881
✔ PECOS✔ Accepts Medicare51 mi
Cooper Wriston, MD
Dermatology
NPI 1134356728
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-0000
✔ PECOS✔ Accepts Medicare956 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paducah Dermatology PLLC's NPI number?

The NPI number for Paducah Dermatology PLLC is 1831242551. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Paducah Dermatology PLLC located?

Paducah Dermatology PLLC is located at 3101 Parisa Dr, Paducah, KY 42003. The listed phone number is (270) 444-8477.

What is Paducah Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Paducah Dermatology PLLC enrolled in Medicare?

Yes. Paducah Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paducah Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Paducah Dermatology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Dermatology (3). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Paducah Dermatology PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Paducah Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paducah Dermatology PLLC was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.