Individual provider Active NPI

Allen Courtney Haddix, M.D.

  • Family Medicine Physician
  • Frankfort, KY
National Provider Identifier
1508933771
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30388 Issued in KY
Practice address
601 Versailles Rd
Frankfort, KY 40601-3857
Phone
(502) 695-3946
Fax
(502) 695-3847
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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 30388 KY Primary

Addresses

Primary practice location

601 Versailles Rd
Frankfort, KY 40601-3857

Mailing address

601 Versailles Rd
Frankfort, KY 40601-3857
Phone (502) 695-3946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000314 KY Practitioner - Family Practice 1355314550 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (Ky) PSC Family Medicine CurrentSince Jan 18, 2024 Accepting new patients
Centerwell Senior Primary Care (Ky) PSC Family Medicine CurrentSince Jan 18, 2024 Accepting new patients
Centerwell Senior Primary Care Ky PSC Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

601 Versailles Rd
Frankfort, KY 40601
Phone (502) 695-3946

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1508933771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946",
            "fax_number": "502-695-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946",
            "fax_number": "502-695-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDIX",
        "first_name": "ALLEN",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.