Active NPI
Webb Primary Care LLC
- Primary Care Clinic/Center
- Pikeville, KY
National Provider Identifier
1104282482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 3008661
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363LA2200X | Other | KY | COVENTRY CARES |
| 202470645 | Other | KY | ANTHEM KY MEDICAID |
| 363LA2200X | Other | KY | HUMANA CARESOURCE |
| 000000911648 | Other | KY | ANTHEM BCBS |
| 363LA2200X | Other | KY | WELLCARE |
| 363LA2200X | Other | KY | CGS ADMINISTRATORS, LLC |
| 363LA2200X | Medicaid | KY | |
| 202470645 | Other | KY | AETNA |
| 202470645 | Other | KY | PASSPORT |
National Provider Directory
National Provider DirectoryLocations
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.