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David G. Lavelle, PHYSICIAN ASSISTANT

NPI 1750476263ActiveIndividual· Physician Assistant, Medical· Fort Campbell, KY

Physician Assistant, Medical (PHYSICIAN ASSISTANT) in Fort Campbell, Kentucky, licensed in TN, with an NPI issued in October 2006.

Overview

NPI1750476263
StatusActive
Entity typeIndividual
CredentialPHYSICIAN ASSISTANT
Sole proprietorYes
NPI issuedOct 3, 2006
Last updated in NPPESMay 29, 2025
Certified by providerMay 29, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X1052634TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Fort Campbell

All 18 physician assistants in Fort Campbell · All physician assistants in Kentucky