Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003677121 Individual Practitioner Male Practitioner

Samuel Adam Cundiff , PA-C

Physician Assistant • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Samuel Cundiff, PA-C is a registered healthcare professional specializing in Physician Assistant in Lexington, KY. Practice services are available at 1350 BULL LEA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 Bull Lea Rd

Lexington, KY 405111247

Telephone 8592468000
Fax 8592468032
Associated Practice Facility / Clinic
🏢 Commonwealth Of Kentucky Facility NPI 1790816395

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
590 Specialists

Practicing in Lexington, KY (1973 Statewide)

Telehealth Adoption Rate
11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA3445

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License KY PA3445

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License KY PA3445

Definition to come...

Secondary Practice Locations

149 Fallow Cir

Georgetown, KY 403247007

Phone: 8594756773

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Charles Shelton , DO

Psychiatry & Neurology - Psychiatry

NPI 1023111697

Doctor of Osteopathic Medicine (D.O.)

Monica Johnson , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023799616

Advanced Practice Registered Nurse

Mary Watkins , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154024495

Advanced Practice Registered Nurse

Cassidy Delgado , PA

Physician Assistant

NPI 1154179265

Physician Assistant

Andrew Makowski , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255704979

Advanced Registered Nurse Practitioner

Nicole Akey , PA-C

Physician Assistant

NPI 1255815056

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2025

Physician Assistant (License #PA3445 in KY)

📍
Updated Business Mailing Address August 20, 2024

Registered at 2781 RUBY RIVER DR APT 1103, LEXINGTON, KY 405116524 (Tel: 8594756773)

📍
Updated Practice Location August 02, 2024

Registered at 1350 BULL LEA RD, LEXINGTON, KY 405111247 (Tel: 8592468000)

👤
Provider Name / Credentials Updated August 02, 2024

Recorded as SAMUEL CUNDIFF, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2024

Physician Assistant (License #TC192 in KY)

NPI Profile Active January 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2024

Registered at 149 FALLOW CIR, GEORGETOWN, KY 403247007 (Tel: 8594756773)

📍
Updated Business Mailing Address January 16, 2024

Registered at 149 FALLOW CIR, GEORGETOWN, KY 403247007

👤
Provider Name / Credentials Updated January 16, 2024

Recorded as SAM CUNDIFF, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003677121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2024
Last Update: January 10, 2025
Sole Proprietor: Yes

Mailing Address

2781 Ruby River Dr Apt 1103

Lexington, KY 405116524

Phone: 8594756773

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.