NPIMap

Organization Active NPI

Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Murray, KY
National Provider Identifier
1194471045
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Practice address
506 N 12TH St Ste a
Murray, KY 42071-1660
Phone
(270) 415-7055
Fax
(270) 415-7056
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Danyel D Clay
Title
VP Revenue Cycle & Coding
Phone
(502) 253-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

506 N 12TH St Ste a
Murray, KY 42071-1660

Mailing address

1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 253-4911

Other names 1

  • Primary Care Murrary Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070228000503 KY Part B Supplier - Clinic/Group Practice 5597867184 Receives reassigned benefits from 1,548 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20230508000083 KY Part A Provider - Rural Health Clinic 5597867184 Practice locations: Murray, KY

Rural health clinic certification: CCN B03953

Legal name
BAPTIST HEALTH MEDICAL GROUP INC
Doing business as
PRIMARY CARE MURRAY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 22, 2024
Last certification
Mar 22, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 2006 in KY
Enrollment address
506 N 12TH St
Murray, KY 42071-1660

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

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
18D2254438Baptist Health Medical Group Primary Care Murray506 North 12TH Street, Murray, KY 42071Certificate of waiverMar 2, 2028
18D2325356Baptist Health Medical Group OBGYN Murray506 North 12TH Street, Murray, KY 42071Provider-performed microscopyJun 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Inc59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100

506 N 12th St
Ste A
Murray, KY 42071
Phone (270) 415-7055

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Staci Dawn Farner Rogers Individual Corporate Director Jan 1, 2022
Christion Hutson Individual Corporate DirectorBoard Member Jan 1, 2026
Janet Norton Individual Corporate OfficerVice President Jul 21, 2006
Frank Purdy Individual Corporate Director Jan 1, 2022
Victoria Buster Individual Corporate Director Jan 1, 2023
Danyel D Clay Individual Corporate OfficerVice President Jan 1, 2022
W-2 Managing EmployeeVice President Jan 1, 2022
Isaac J Myers Individual Corporate OfficerPresident Jan 10, 2018
Rob D Schreiner Individual Corporate Director Jan 1, 2021
Susan S Tamme Individual Corporate DirectorBoard Member Jan 1, 2026
Joanne M Berryman Individual Corporate DirectorBoard Member Jan 1, 2024
Baptist Healthcare System Inc Organization, Louisville, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Ronald Douglas Reed Individual Corporate OfficerVice President Jan 17, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 8

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": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1194471045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-253-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N 12TH ST STE A",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711660",
            "telephone_number": "270-415-7055",
            "fax_number": "270-415-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "DANYEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP REVENUE CYCLE & CODING",
        "authorized_official_telephone_number": "502-253-4911"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Murrary",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Primary Care Murrary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.