Tompkinsville Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TOMPKINSVILLE PRIMARY CARE

Practice address

901 N Main St
Box 476
Tompkinsville, KY 42167-1004

Phone

(270) 487-0551

Fax

(270) 487-0841

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Denise Bean

Title

Office Manager/Owner

Phone

(270) 487-0551

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Neal Bean, M.D.

  • Family Medicine Physician
  • Tompkinsville, KY
  • NPI 1750497574
  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1548379779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MAIN ST",
            "address_2": "BOX 476",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421671004",
            "telephone_number": "270-487-0551",
            "fax_number": "270-487-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MAIN ST",
            "address_2": "BOX 476",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421671004",
            "telephone_number": "270-487-0551",
            "fax_number": "270-487-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMPKINSVILLE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "270-487-0551"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65934713",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Sheffield Aprn LLC
• Timothy D. Hume M.D. LLC
• Tompkinsville Chiropractic LLC
• Tompkinsville Drugs LLC
• Tompkinsville Drugs LLC
• Michelle E Travis, M.S., CCC-SLP
• Sarah Turner, PHARMD
• Vann Homecare Inc
• Wal-Mart Stores East LP
• Sharon Walker

• Family Medicine Physician in Tompkinsville, KY
• Providers in Tompkinsville, 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 Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.