NPIMap

Organization Active NPI

Primary Care Associates of Williamson

  • Family Medicine Physician
  • South Williamson, KY
National Provider Identifier
1003972951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02231 Issued in KY
Legal business name
PRIMARY CARE ASSOCIATES OF WILLIAMSON
Practice address
306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095
Phone
(606) 237-0053
Fax
(606) 237-8485
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cassie N Bono
Title
Accounts Representative
Phone
(606) 237-0053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 02231 KY Primary

Addresses

Primary practice location

306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095

Mailing address

306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095
Phone (606) 237-0053

National Provider Directory

National Provider Directory

Locations

306 Hospital Dr
Ste 105
South Williamson, KY 41503
Phone (606) 237-0053

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003972951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-0053",
            "fax_number": "606-237-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-0053",
            "fax_number": "606-237-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ACCOUNTS REPRESENTATIVE",
        "authorized_official_telephone_number": "606-237-0053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.