Active NPI
Imac Medical of Kentucky PSC
- Durable Medical Equipment & Medical Supplies
- Murray, KY
National Provider Identifier
1063143410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- IMAC MEDICAL OF KENTUCKY PSC
- Practice address
- 1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759 - Phone
- (270) 971-4344
- Fax
- (270) 215-4834
- NPI assigned
- Jun 17, 2022
- Last updated
- Jun 17, 2022
- Organization subpart
- Yes
- Parent organization
- IMAC MEDICAL OF KENTUCKY PSC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bailee Boyett
- Title
- Credentialing Specialist
- Phone
- (615) 637-7333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Mailing address
1605 Westgate Cir Ste 100
Brentwood, TN 37027-8396
Phone (615) 637-7333
National Provider Directory
National Provider Directory- Part of
- Imac Medical of Kentucky PSC
Locations
1605 Westgate Cir
Ste 100
Brentwood, TN 37027
Phone (615) 637-7333
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pain Management Registered Nurse
- Lexington, KY
- NPI 1003562810
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Exton, PA
- NPI 1851401954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655424000000",
"number": "1063143410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 WESTGATE CIR STE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278396",
"telephone_number": "615-637-7333",
"fax_number": "615-637-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 HIGHWAY 121 BYP N STE B",
"city": "MURRAY",
"state": "KY",
"postal_code": "420718759",
"telephone_number": "270-971-4344",
"fax_number": "270-215-4834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAC MEDICAL OF KENTUCKY PSC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IMAC MEDICAL OF KENTUCKY PSC",
"enumeration_date": "2022-06-17",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A",
"authorized_official_last_name": "BOYETT",
"authorized_official_first_name": "BAILEE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "615-637-7333"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.