NPIMap

Organization Active NPI

Bates Miller & Sims PLLC

  • Rural Health Clinic/Center
  • Stanford, KY
National Provider Identifier
1598869638
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BATES MILLER & SIMS PLLC
Practice address
100 Jay Street
Stanford, KY 40484-7511
Phone
(606) 365-1547
Fax
(606) 365-8380
NPI assigned
Sep 11, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. James Alvin Miller, MDNPI 1194768267
Title
Medical Director
Phone
(606) 365-1547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X KY Primary

Addresses

Primary practice location

100 Jay Street
Stanford, KY 40484-7511

Mailing address

PO Box330
Stanford, KY 40484-0330
Phone (606) 365-1547

Other identifiers 1

IdentifierTypeStateIssuer
35001924MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050713000056 KY Part B Supplier - Clinic/Group Practice 0840226692 Receives reassigned benefits from 15 practitioners
Practice locations: Stanford, KY
O20050818000076 KY Part A Provider - Rural Health Clinic 0840226692 Practice locations: Stanford, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598869638. Details of each certification follow.

Rural health clinic certification: CCN 183945

Legal name
BATES MILLER & SIMS PLLC
Doing business as
BATES, MILLER & SIMMS, PLLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 4, 2006
Last certification
Oct 10, 2019
Ownership / control type
1C
Organization structure
CorporationProprietary
Incorporated
May 23, 2005 in KY
Enrollment address
100 Jay Street
Stanford, KY 40484-0330

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James a Miller Individual 5% Or Greater Direct Ownership Interest May 23, 2005
Christopher D Sims Individual 5% Or Greater Direct Ownership Interest May 23, 2005
Operational/Managerial Control May 23, 2005
OtherAdministrator May 23, 2005
Rodney K Bates Individual 5% Or Greater Direct Ownership Interest May 23, 2005

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1598869638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX330",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404840330",
            "telephone_number": "606-365-1547",
            "fax_number": "606-365-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JAY STREET",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404847511",
            "telephone_number": "606-365-1547",
            "fax_number": "606-365-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES MILLER & SIMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "606-365-1547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001924",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.