South Kentucky Physician Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25262 Issued in KY

Legal business name

SOUTH KENTUCKY PHYSICIAN SERVICES, INC.

Practice address

202-206 Milby Street
Greensburg, KY 42743

Phone

(270) 634-1921

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gary Ledford Partin, MDNPI 1386614188

Title

Chief Medical Officer

Phone

(270) 634-1921

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Gary L Partin, M.D.

  • Family Medicine Physician
  • Greensburg, KY
  • NPI 1386614188
  Medicare reassignment NPD Authorized official
• Adil M Mohiuddin, M.D.

  • General Practice Physician
  • Greensburg, KY
  • NPI 1073065983
  Medicare reassignment NPD

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1629346945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 BLISS RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427288510",
            "telephone_number": "270-634-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202-206 MILBY STREET",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "42743",
            "telephone_number": "270-634-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH KENTUCKY PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "PARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEDFORD",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "270-634-1921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "25262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64252638",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Karen Simpson, SLP
• Jason Wayne Slinker, D.C.
• Hayley Slone
• Stella Smith
• South Central Ky Open MRI, PSC
• Brooklyn Spaulding
• Destiny Tori Stearman
• Kaylea Stearman
• Monica Ann Stone, M.D.
• Supportive Community Alliances, LLC

• Family Medicine Physician in Greensburg, KY
• Providers in Greensburg, 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 Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.