Stone Family Practice PLLC

Key facts

NPI: 1609217868
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: STONE FAMILY PRACTICE PLLC
Practice address: 1019 Paducah Rd Ste B
Mayfield, KY 42066-3616
Phone: (270) 970-0924
Fax: (866) 985-7514
NPI assigned: Jul 16, 2013
Organization subpart: No

Authorized official

Name: Dr. Richard Darren Stone, DO NPI 1508178336
Title: Owner/Physician
Phone: (270) 804-7408

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

Practitioners 4

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

Richard Darren Stone, D.O. Family Medicine Physician · Mayfield, KY · NPI 1508178336

Medicare reassignment Care Compare group Authorized official KY
Amanda Denise Kimbler, APRN Family Nurse Practitioner · Mayfield, KY · NPI 1174864516

Medicare reassignment Care Compare group KY
Jennifer Kaye Wilkerson, APRN Nurse Practitioner · Mayfield, KY · NPI 1013231786

Medicare reassignment Care Compare group KY
Daniel A Howard, M.D. Surgery Physician · Mayfield, KY · NPI 1336136514

NPD

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
18D2063408	Stone Family Practice, PLLC 1019 Paducah Road, Suite B, Mayfield, KY 42066	Certificate of waiver	Jul 31, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20130828000484	KY	Part B Supplier - Clinic/Group Practice	2365685062	Receives reassigned benefits from 3 practitioners Practice locations: Mayfield, KY

National Provider Directory

Locations

1019 Paducah Rd
Ste B
Mayfield, KY 42066
Phone (270) 804-7408

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X			Yes
Family Nurse Practitioner Group: 193200000X MULTI-SPECIALTY GROUP	363LF0000X

Addresses

Primary practice location

1019 Paducah Rd Ste B
Mayfield, KY 42066-3616

Mailing address

1019 Paducah Rd Ste B
Mayfield, KY 42066-3616
Phone (270) 970-0924

Other providers in Mayfield, KY

All providers in Mayfield, KY · Family Medicine Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.