Individual provider Active NPI

Jerry L Woolum, MD

  • Surgery Physician
  • Barbourville, KY
National Provider Identifier
1467464446
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15458 Issued in KY
Practice address
80 Hospital Dr Ste 2
Barbourville, KY 40906-7363
Phone
(606) 545-4460
Fax
(606) 545-4469
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15458 KY Primary

Addresses

Primary practice location

80 Hospital Dr Ste 2
Barbourville, KY 40906-7363

Mailing address

80 Hospital Dr Ste 2
Barbourville, KY 40906-7363
Phone (606) 545-4460

Other identifiers 1

IdentifierTypeStateIssuer
64154586MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerrywoolum@arh.medalliesdirect.net Direct

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
I20101210000357 KY Practitioner - General Surgery 9830288240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kentucky College of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, shared by 19 NPIs, 87 clinicians

Practice addresses (Care Compare)

80 Hospital Dr
Suite 2
Barbourville, KY 40906-7363
Phone (606) 545-4460

Hospital & facility affiliations

  • Knox County Hospital Hospital, Barbourville, KY, CCN 181328

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jul 31, 2018 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jul 31, 2018 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Martha Combs Woolum MD PLLC PastSince Oct 15, 2012 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737

Interoperability endpoints

  • Direct secure messaging: jerrywoolum@arh.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1467464446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR STE 2",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-545-4460",
            "fax_number": "606-545-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR STE 2",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-545-4460",
            "fax_number": "606-545-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLUM",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "15458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64154586",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerrywoolum@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "80 Hospital Dr Ste 2",
            "city": "Barbourville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409067363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.