Organization Active NPI

Cagle and Bailey Adult Health PLLC

  • Primary Care Nurse Practitioner
  • Murray, KY
National Provider Identifier
1164563334
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CAGLE AND BAILEY ADULT HEALTH PLLC
Practice address
305 S 8TH St Ste a
Murray, KY 42071-2404
Phone
(270) 753-4616
Fax
(270) 767-3623
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Talana Reid
Title
Business Office Coordinator
Phone
(270) 753-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

305 S 8TH St Ste a
Murray, KY 42071-2404

Mailing address

305 S 8TH St Ste a
Murray, KY 42071-2404
Phone (270) 753-4616

Other identifiers 1

IdentifierTypeStateIssuer
00354OtherKYMEDICARE

Other names 1

  • Cagle and Bailey Adult Health PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000250 KY Part B Supplier - Clinic/Group Practice 4183716897 Receives reassigned benefits from 6 practitioners
Practice locations: Murray, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1069570Cagle & Bailey Adult Health305 S 8TH Street, Suite a, Murray, KY 42071Provider-performed microscopySep 16, 2027

National Provider Directory

National Provider Directory

Locations

305 S 8th St
Ste A
Murray, KY 42071
Phone (270) 753-4616

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1164563334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S 8TH ST STE A",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712404",
            "telephone_number": "270-753-4616",
            "fax_number": "270-767-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S 8TH ST STE A",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712404",
            "telephone_number": "270-753-4616",
            "fax_number": "270-767-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAGLE AND BAILEY ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TALANA",
        "authorized_official_title_or_position": "BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "270-753-4616"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00354",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cagle and Bailey Adult Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cagle and Bailey Adult Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.