Freddie L Terrell, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

29797 Issued in KY

Practice address

1114 McCann Dr
Winchester, KY 40391-1157

Phone

(859) 737-4411

Fax

(859) 737-2123

NPI assigned

Jul 7, 2005

Last updated

Mar 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clrk_-_freddie_terrell_-_physician@yourcarecommunity.org
• Direct secure messaging: freddie.terrell.1@19475.direct.athenahealth.com

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.

• Clark Regional Physician Practices LLC

  dba Centerpoint Family Medicine - Mt. Sterling

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1780356253
  Medicare reassignment NPD
• Kentucky Hospital, LLC

  dba Powell Family Health

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1770809808
  Medicare reassignment NPD
• Clark Regional Physician Practices, LLC

  dba Centerpoint Podiatry - Winchester

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
  • NPI 1114282605

  Urology

  NPD
• Kentucky Hospital LLC

  dba Clark Regional Family Practice

  • Family Medicine Physician
  • Winchester, KY
  • NPI 1831418060
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1548268279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 MCCANN DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911157",
            "telephone_number": "859-737-4411",
            "fax_number": "859-737-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MCCANN DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911157",
            "telephone_number": "859-737-4411",
            "fax_number": "859-737-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "FREDDIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "29797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64297971",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward J. Tanous Jr., MD
• Brenda Gail Taulbee, PSS
• Adam W Taylor, DO
• Lisa Jeanell Taylor, LPCC
• Micah Taylor
• Therapeutic Villlage, LLC
• Jacqueline M Thiry, PA-C
• Thomas & Associates OB GYN PLLC
• Shawna D Thomerson, MSW, CSW
• Matthew G Thompson, DC

• Urology Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.