Active NPI
Ronnie Pridemore, M.D.
- Emergency Medicine Physician
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 48816
- Practice address
- 913 N Dixie Ave
Elizabethtown, KY 42701-2503 - Phone
- (877) 783-6257
- Fax
- (859) 514-5521
- NPI assigned
- Jun 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 48816 | KY | Primary |
Addresses
Primary practice location
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Mailing address
PO Box 910530
Lexington, KY 40591-0530
Phone (877) 783-6257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100136250 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Louisville School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 737-1212
Hospital & facility affiliations
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.76 of 100
- Quality
- 81.95
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48816 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T J Samson Community Hospital | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| Elizabethtown Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Elizabethtown, KY
- NPI 1528003316
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1093752040
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Glasgow, KY
- NPI 1922343300
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1285895334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910530",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405910530",
"telephone_number": "877-783-6257",
"fax_number": "859-514-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 N DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012503",
"telephone_number": "877-783-6257",
"fax_number": "859-514-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDEMORE",
"first_name": "RONNIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-21",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "48816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100136250",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.
- 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.