AUSTIN TANNER SIZEMORE (PA-C) – Physician Assistant, NPI 1205675436

AUSTIN TANNER SIZEMORE (PA-C) is a healthcare provider. based in Campton, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for AUSTIN TANNER SIZEMORE (PA-C) is 1205675436

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN TANNER SIZEMORE (PA-C)
NPI
1205675436
Phone
(066) 686-9326
Address
PO BOX 220
Enumeration Date
20 May 2024
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066683120
Graduation Year
2024 (2 years ago)
PAC ID
6305378464
Group Practice PAC ID
2668457094
Professional Enrollment ID
I20241014002973
Address ID
KY413018988CA219XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for AUSTIN TANNER SIZEMORE (PA-C)

  • PO BOX 220

    CAMPTON, KY 413010220

    Phone: (066) 686-9326

    Type: Mailing

  • 219 MOUNTAIN PARKWAY SPUR RD

    CAMPTON, KY 413018988

    Phone: (066) 686-9326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241014002973IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668457094View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
P S Y C H I A T R YKY
Clinical Social WorkerKY
Nurse PractitionerKY
Internal Medicine, Pediatric MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY

Reviews

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Frequently asked questions

Can I verify AUSTIN TANNER SIZEMORE (PA-C) with an NPI only?
You can start verification with NPI 1205675436 for AUSTIN TANNER SIZEMORE (PA-C), then check state licensing separately.
Is AUSTIN TANNER SIZEMORE (PA-C) listed as active for patients and plans?
The listing shows AUSTIN TANNER SIZEMORE (PA-C) as active in the NPI system.
What is AUSTIN TANNER SIZEMORE (PA-C) best known for clinically?
Directory data describes AUSTIN TANNER SIZEMORE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AUSTIN TANNER SIZEMORE (PA-C) based?
AUSTIN TANNER SIZEMORE (PA-C) is tied to Campton, Kentucky in the data we show; additional addresses may exist on the full record.
Why does AUSTIN TANNER SIZEMORE (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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