Urgent Care Services Southeast PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

URGENT CARE SERVICES SOUTHEAST PSC

Practice address

1301 N Race St
Glasgow, KY 42141-3454

Phone

(270) 651-4444

NPI assigned

Aug 18, 2023

Last updated

Aug 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Wilson

Title

Director

Phone

(865) 985-7114

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 70

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.

• Mary Ellen Anderson, NP

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1598865347
  Medicare reassignment Care Compare group NPD
• Mohammed Asaad Anwer, MD, MBBS

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1831830892
  Medicare reassignment Care Compare group NPD
• Ty E Bowles, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1316416019
  Medicare reassignment Care Compare group NPD
• Elizabeth L Combs Royse, D.O.

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1053631101
  Medicare reassignment Care Compare group NPD
• Eric L Fisher, M.D.

  • Emergency Medicine Physician
  • Glasgow, KY
  • NPI 1861785974

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lindsey T Gilliam, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1477208932
  Medicare reassignment Care Compare group NPD
• Kevin M Kelly, MD

  • Emergency Medicine Physician
  • Bowling Green, KY
  • NPI 1730116625
  Medicare reassignment Care Compare group NPD
• Amad Mohammad, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1336843044
  Medicare reassignment Care Compare group NPD
• Dillon Pender, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1639666571
  Medicare reassignment Care Compare group NPD
• Ethan Smith, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1750076451
  Medicare reassignment Care Compare group NPD
• Monika Varney, APRN

  • Family Nurse Practitioner
  • Columbia, KY
  • NPI 1114700697
  Medicare reassignment Care Compare group NPD
• Lauren Hazel Hansen, DO

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1356848923

  KY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1427831759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194053",
            "telephone_number": "865-985-7114",
            "fax_number": "865-692-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413454",
            "telephone_number": "270-651-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE SERVICES SOUTHEAST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-985-7114"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Klark Bennett Turpen, M.D.
• Chance Robertson Tyler, APRN
• William Craig Tyree, M.D.
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• Brenden Scott Van Der Werff, MD
• Vann Healthcare Services Inc (Vann Healthcare Services)
• Vann Homecare Inc
• E P Vann, RPH
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• Family Medicine Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.