Individual provider Active NPI

Ashley Flanary Jessup, MD

  • Family Medicine Physician
  • Calvert City, KY
National Provider Identifier
1306257332
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49440 Issued in KY
Practice address
4754 US Highway 62
Calvert City, KY 42029-8456
Phone
(270) 415-7780
Fax
(270) 415-7779
NPI assigned
May 13, 2014
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49440 KY Primary

Addresses

Primary practice location

4754 US Highway 62
Calvert City, KY 42029-8456

Mailing address

2605 Kentucky Avenue
Suite 306
Paducah, KY 42003-3802
Phone (270) 415-7653

Other identifiers 1

IdentifierTypeStateIssuer
7100374270MedicaidKY

Other names 1

  • Ashley Flanary Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajessup49232@bhkydirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825005287 KY Practitioner - Family Practice 7618283391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1851 N Main St
Madisonville, KY 42431-9024
Phone (270) 825-7268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49440KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 8, 2017 Accepting new patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

4754 US Highway 62
Calvert City, KY 42029
Phone (270) 415-7745

96 Future Dr
Corbin, KY 40701

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

Interoperability endpoints

  • Direct secure messaging: ajessup49232@bhkydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1306257332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVENUE",
            "address_2": "SUITE 306",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033802",
            "telephone_number": "270-415-7653",
            "fax_number": "270-575-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 US HIGHWAY 62",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420298456",
            "telephone_number": "270-415-7780",
            "fax_number": "270-415-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "ASHLEY",
        "middle_name": "FLANARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "49440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100374270",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajessup49232@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4754 US Highway 62",
            "city": "Calvert City",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420298456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "FLANARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calvert City, KY

Sources for this page

Verify at the official NPI Registry.