Active NPI
Cory Gearlds, APRN
- Family Nurse Practitioner
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3010138
- Practice address
- 5796 Nashville Rd
Bowling Green, KY 42101-7546 - Phone
- (270) 495-3882
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3010138 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3010138 | KY | Primary |
Addresses
Primary practice location
5796 Nashville Rd
Bowling Green, KY 42101-7546
Mailing address
5796 Nashville Rd
Bowling Green, KY 42101-7546
Phone (270) 282-4556
Other practice location 1
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 659-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100390820 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502002484 | KY | Practitioner - Nurse Practitioner | 8123327855 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010138 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T J Samson Community Hospital | Family | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Urgent Care Services Southeast PSC | Nurse Practitioner | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Southeastern Emergency Services P C | Nurse Practitioner | Current | Accepting new patients |
Locations
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1427831759
KY, Nurse Practitioner
-
- Surgery Physician
- Hartford, KY
- NPI 1407049000
-
- Gastroenterology Physician
- Owensboro, KY
- NPI 1437961828
-
- Family Medicine Physician
- Hartford, KY
- NPI 1780877381
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Glasgow, KY
- NPI 1922343300
Family
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1275992018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5796 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421017546",
"telephone_number": "270-282-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5796 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421017546",
"telephone_number": "270-495-3882"
}
],
"practiceLocations": [
{
"address_1": "310 N L Rogers Wells Blvd",
"address_purpose": "LOCATION",
"city": "Glasgow",
"state": "KY",
"postal_code": "421411300",
"country_code": "US",
"telephone_number": "270-659-5555",
"fax_number": "270-659-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEARLDS",
"first_name": "CORY",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3010138",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100390820",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.