NPIMap

Individual provider Active NPI

Buddy Hurt, DO

  • Family Medicine Physician
  • Versailles, KY
National Provider Identifier
1366479248
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02563 Issued in KY
Practice address
117 Crossfield Dr Ste B
Versailles, KY 40383-1844
Phone
(859) 873-9188
Fax
(859) 873-0870
NPI assigned
Jun 27, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02563 KY Primary
Family Medicine Physician 207Q00000X 2177 WV

Addresses

Primary practice location

117 Crossfield Dr Ste B
Versailles, KY 40383-1844

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other identifiers 3

IdentifierTypeStateIssuer
64001886MedicaidKY
2662604MedicaidOH
3810005690MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000043 KY Practitioner - Family PracticePractitioner - Hospitalist 5991768855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

117 Crossfield Dr B
Versailles, KY 40383-1844
Phone (859) 873-9188

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Mar 2, 2015 Accepting new patients
New Lexington Clinic PSC CurrentSince Mar 27, 2023 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Aug 10, 2021 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Nov 18, 2019 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family Medicine Current Accepting new patients
New Lexington Clinic, PSC CurrentSince Mar 27, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Family Medicine CurrentSince Nov 18, 2019 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Aug 10, 2021 Accepting new patients
Kentuckyone Health Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

101 Medical Heights Dr
Ste D
Frankfort, KY 40601
Phone (502) 875-2468

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

50 Sterling Ave
Mt Sterling, KY 40353
Phone (606) 498-1220

117 Crossfield Dr
Ste B
Versailles, KY 40383
Phone (859) 258-4950

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Interoperability endpoints

  • Direct secure messaging: buddy.hurt.1@13059.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrodsburg Family Medical CenterHarrodsburg, KY, CCN 188515 Rural health clinic Corporate Director Jan 1, 2021
Ephraim McDowell Springfield Family Medical CenterSpringfield, KY, CCN 188514 Rural health clinic Corporate Director Jan 1, 2021
Ephraim McDowell Family and Internal MedicineDanville, KY, CCN 188522 Rural health clinic Corporate Director Jan 1, 2021
Ephraim McDowell Walk in and Primary CareDanville, KY, CCN 188524 Rural health clinic Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 7

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1366479248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CROSSFIELD DR STE B",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831844",
            "telephone_number": "859-873-9188",
            "fax_number": "859-873-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "BUDDY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02563",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64001886",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2662604",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005690",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.