Organization Active NPI

Progressivehealth Healthspot, LLC

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1265140446
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://practice.Kareo.com/YKTAHealthSpot Direct

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
01D2274421Ykta Healthspot, the9000 Greenbrier Parkway NW, Unit 84, Madison, AL 35756Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Progressivehealth Healthspot6 organizations share this tax ID, including this one
Part of
Progressivehealth Healthspot

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.