NPIMap

Organization Active NPI

Laurel Medical Services LLC

  • Primary Care Clinic/Center
  • London, KY
National Provider Identifier
1427733328
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAUREL MEDICAL SERVICES LLC
Practice address
421 W Highway 80
London, KY 40741-1070
Phone
(606) 657-2345
Fax
(606) 657-2346
NPI assigned
Jun 19, 2023
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Keisha Shae Perkins, APRNNPI 1548896335
Title
Owner
Phone
(606) 524-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

421 W Highway 80
London, KY 40741-1070

Mailing address

421 W Highway 80
London, KY 40741-1070
Phone (606) 657-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230804002492 KY Part B Supplier - Clinic/Group Practice 9638530785 Receives reassigned benefits from 4 practitioners
Practice locations: London, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Laurel Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

421 W Highway 80
London, KY 40741
Phone (606) 657-2345

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1427733328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W HIGHWAY 80",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411070",
            "telephone_number": "606-657-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W HIGHWAY 80",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411070",
            "telephone_number": "606-657-2345",
            "fax_number": "606-657-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-524-5200",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.