Individual provider Active NPI

Rachel Ezell Bevins, DO

  • Obstetrics & Gynecology Physician
  • Corbin, KY
National Provider Identifier
1033313846
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04294 Issued in KY
Practice address
1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796
Phone
(606) 528-5527
Fax
(606) 526-9687
NPI assigned
Jun 14, 2007
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2214 TN
Obstetrics & Gynecology Physician 207V00000X 0102204565 VA
Obstetrics & Gynecology Physician 207V00000X 04294 KY Primary

Addresses

Primary practice location

1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796

Mailing address

277 White St NE
Abingdon, VA 24210-2913
Phone (276) 628-4335

Other identifiers 3

IdentifierTypeStateIssuer
7100550410MedicaidKY
1524686MedicaidTN
1033313846MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723000664 KY Practitioner - Obstetrics/Gynecology 8527236819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1019 Cumberland Falls Hwy
Corbin, KY 40701-2796
Phone (606) 528-5527

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2214TNMDMarriage & Family Therapist
0102204565VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Grace Community Health Center, Inc. Current Accepting new patients
Grace Community Health Center, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

1019 Cumberland Falls Hwy
Ste D141
Corbin, KY 40701
Phone (606) 528-5527

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

Interoperability endpoints

  • Direct secure messaging: rbevins704271@direct.ochin.org
  • Direct secure messaging: rbevins76649@bhkydirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1033313846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 WHITE ST NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102913",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE D141",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012796",
            "telephone_number": "606-528-5527",
            "fax_number": "606-526-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVINS",
        "first_name": "RACHEL",
        "middle_name": "EZELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "2214",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102204565",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "04294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100550410",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524686",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033313846",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.