Active NPI
Progressivehealth Healthspot, LLC
- Family Medicine Physician
- Madison, AL
National Provider Identifier
1265140446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROGRESSIVEHEALTH HEALTHSPOT, LLC
- Practice address
- 9000 Greenbrier Pkwy NW
Madison, AL 35756-4453 - Phone
- (256) 893-9500
- NPI assigned
- Nov 7, 2022
- Organization subpart
- Yes
- Parent organization
- PROGRESSIVEHEALTH HEALTHSPOT, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin McKinley Rainbolt, MBA
- Title
- Vice President of Emp Med Solutions
- Phone
- (615) 830-4081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9000 Greenbrier Pkwy NW
Madison, AL 35756-4453
Mailing address
4015 Aspen Grove Dr Unit 4028
Franklin, TN 37067-1627
Phone (615) 830-4081
Other names 1
- YKTA HealthSpot
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://practice.Kareo.com/YKTAHealthSpot | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2274421 | Ykta Healthspot, the | Certificate of waiver | Jan 3, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Progressivehealth Healthspot
- Part of
- Progressivehealth Healthspot
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
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- Corporate Health Clinic/Center
- Dayton, TN
- NPI 1245830074
-
- Primary Care Clinic/Center
- Murfreesboro, TN
- NPI 1487223988
-
- Primary Care Clinic/Center
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- NPI 1902486731
-
- Primary Care Clinic/Center
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- NPI 1376277558
-
- Primary Care Clinic/Center
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Locations
9000 Greenbrier Pkwy NW
Madison, AL 35756
Phone (256) 285-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667779200000",
"number": "1265140446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 ASPEN GROVE DR UNIT 4028",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671627",
"telephone_number": "615-830-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 GREENBRIER PKWY NW",
"city": "MADISON",
"state": "AL",
"postal_code": "357564453",
"telephone_number": "256-893-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVEHEALTH HEALTHSPOT, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROGRESSIVEHEALTH HEALTHSPOT, LLC",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A",
"authorized_official_last_name": "RAINBOLT",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MCKINLEY",
"authorized_official_title_or_position": "VICE PRESIDENT OF EMP MED SOLUTIONS",
"authorized_official_telephone_number": "615-830-4081",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://practice.Kareo.com/YKTAHealthSpot",
"affiliation": "N",
"endpointDescription": "Clinic website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9000 Greenbrier Pkwy NW",
"city": "Madison",
"state": "AL",
"country_code": "US",
"postal_code": "357564453",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "YKTA HealthSpot",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.