NPIMap

Individual provider Active NPI

Erica Lynn Courtney, M.D.

  • Family Medicine Physician
  • Glasgow, KY
National Provider Identifier
1013142876
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53005 Issued in KY
Practice address
1325 N Race St
Glasgow, KY 42141-3427
Phone
(270) 651-4797
Fax
(270) 651-4818
NPI assigned
May 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012035755 MO
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 53005 KY Primary

Addresses

Primary practice location

1325 N Race St
Glasgow, KY 42141-3427

Mailing address

6675 Holmes Rd
Ste 360
Kansas City, MO 64131-1150
Phone (816) 276-7600

Other identifiers 3

IdentifierTypeStateIssuer
7100627440MedicaidKY
K308771OtherKYMEDICARE
K308770OtherKYMEDICARE

Other names 1

  • Dr. Erica Lynn Gillette Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Erica.Gillette@tjrh.cernerdirect.com T J Samson Community Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108001306 KY Practitioner - Family Practice 1759531759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Samson Community Hospital 197 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

1325 N Race St
Glasgow, KY 42141-3427
Phone (270) 651-4797

1337 -C N Race St
Glasgow, KY 42141-3427
Phone (270) 629-3376

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53005KYMDFamily Medicine Physician

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Current Accepting new patients
T J Samson Community Hospital Family Medicine Current Accepting new patients
T J Samson Community Hospital Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
T J Samson Community Hospital Past Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1325 N Race St
Glasgow, KY 42141
Phone (270) 651-4797

Networks

  • KY PPO
  • KY PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: erica.gillette@tjrh.cernerdirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1013142876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413427",
            "telephone_number": "270-651-4797",
            "fax_number": "270-651-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012035755",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "53005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100627440",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K308771",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K308770",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erica.Gillette@tjrh.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "T J Samson Community Hospital",
            "address_1": "1325 N Race St",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421413427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "GILLETTE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.