Individual provider Active NPI

William Patrick Reed

  • Medical Physician Assistant
  • Campbellsville, KY
National Provider Identifier
1023704483
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2704 Issued in KY
Practice address
150 W Bear Track Rd
Campbellsville, KY 42718-8709
Phone
(270) 465-8133
Fax
(270) 789-1543
NPI assigned
Apr 17, 2023
Last updated
May 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2704 KY Primary

Addresses

Primary practice location

150 W Bear Track Rd
Campbellsville, KY 42718-8709

Mailing address

150 W Bear Track Rd
Campbellsville, KY 42718-8709
Phone (270) 465-8133

Other names 1

  • Patrick Reed Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004002268 KY Practitioner - Physician Assistant 0244685642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2704KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Geri-Care, LLC Current Accepting new patients

Locations

150 W Bear Track Rd
Campbellsvlle, KY 42718
Phone (270) 465-8133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJABCA/Endpoint/CJABCA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1023704483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "REED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.