Active NPI
Gary V James, MD
- Family Medicine Physician
- Marion, KY
National Provider Identifier
1083616619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20690
- Practice address
- 518 West Gum Street
Marion, KY 42064-1516 - Phone
- (270) 965-5238
- Fax
- (270) 965-9015
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20690 | KY | Primary |
Addresses
Primary practice location
518 West Gum Street
Marion, KY 42064-1516
Mailing address
PO Box 559
Marion, KY 42064-0559
Phone (270) 965-5238
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000045472 | Other | KY | ANTHEM BC/BS |
| 080046127 | Other | RAILROAD MEDICARE | |
| 0200277044 | Medicaid | IL | |
| 64206907 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primaricare, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
Organizations & group practices 1
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.
-
- Licensed Practical Nurse
- Princeton, KY
- NPI 1033284781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1083616619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 559",
"city": "MARION",
"state": "KY",
"postal_code": "420640559",
"telephone_number": "270-965-5238",
"fax_number": "270-965-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 WEST GUM STREET",
"city": "MARION",
"state": "KY",
"postal_code": "420641516",
"telephone_number": "270-965-5238",
"fax_number": "270-965-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "GARY",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "20690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000045472",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080046127",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0200277044",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64206907",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.