Organization Active NPI

Webb Primary Care LLC

  • Primary Care Clinic/Center
  • Pikeville, KY
National Provider Identifier
1104282482
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3008661 Issued in KY
Legal business name
WEBB PRIMARY CARE LLC
Practice address
419 Town Mountain Rd
Suite 203
Pikeville, KY 41501-1631
Phone
(606) 253-3003
Fax
(606) 253-3002
NPI assigned
Jan 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Authorized official

Name
Mrs. Ginger Webb, APRN
Title
Owner
Phone
(606) 253-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3008661 KY Primary

Addresses

Primary practice location

419 Town Mountain Rd
Suite 203
Pikeville, KY 41501-1631

Mailing address

419 Town Mountain Rd
Suite 203
Pikeville, KY 41501-1631
Phone (606) 253-3003

Other identifiers 9

IdentifierTypeStateIssuer
363LA2200XOtherKYCOVENTRY CARES
202470645OtherKYANTHEM KY MEDICAID
363LA2200XOtherKYHUMANA CARESOURCE
000000911648OtherKYANTHEM BCBS
363LA2200XOtherKYWELLCARE
363LA2200XOtherKYCGS ADMINISTRATORS, LLC
363LA2200XMedicaidKY
202470645OtherKYAETNA
202470645OtherKYPASSPORT

National Provider Directory

National Provider Directory

Locations

419 Town Mountain Rd
Ste 203
Pikeville, KY 41501
Phone (606) 253-3003

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1104282482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 203",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-253-3003",
            "fax_number": "606-253-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 203",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-253-3003",
            "fax_number": "606-253-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-253-3003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "3008661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY CARES",
            "identifier": "363LA2200X",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM KY MEDICAID",
            "identifier": "202470645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CARESOURCE",
            "identifier": "363LA2200X",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000911648",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363LA2200X",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGS ADMINISTRATORS, LLC",
            "identifier": "363LA2200X",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LA2200X",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "202470645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "202470645",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.