James W Middleton Jr., MD
Individual provider Active NPI Family Medicine Physician · Munfordville, KY
NPI 1659337269 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1659337269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18239 (KY)
- Practice address
- 117 W South St
Munfordville, KY 42765 - Phone
- (270) 524-7231
- Fax
- (270) 524-7415
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medical Center of Hart Co
Practice addresses (Care Compare)
117 W S St
Munfordville, KY 42765-9025
Phone (270) 524-7231
Hospital & facility affiliations
- Family Home Health Care, LLC Dba Adoration Home Health
- Caverna Memorial Hospital
- Baptist Health Hardin
- Signature Healthcare of Hart County Rehab & Wellne
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Medical Center of Hart Co |
Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director |
Aug 27, 2010 Aug 27, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040219000677 | KY | Practitioner - Family Practice | 4082509518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical C Enter of Hart County | Family Medicine | Current |
Accepting new patients |
| Family Medical Center of Hart Co | Family Medicine | Current |
Accepting new patients |
| LP Horse Cave, LLC | Past | Accepting new patients |
Locations
1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18239 | KY | Yes |
Addresses
Primary practice location
117 W South St
Munfordville, KY 42765
Mailing address
PO Box 579
Munfordville, KY 42765
Phone (270) 524-7231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1064169 | Other | KY | PASSPORT MEDICAID MGD CAR |
| 64182397 | Medicaid | KY | |
| 000000046108 | Other | KY | ANTHUM BCBS |
Other providers in Munfordville, KY
- Destinie D Melton
- Rachel Mercer
- Hilary Meredith
- Shannon Lynn Mester
- Evelyn Salisbury Middleton
- Autumn Minch
- Kimberly Ann Owens
- Sandhya Pahuja
- Jackie A. Pandeya
- Virag Pandeya
All providers in Munfordville, 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 Dec 11, 2013. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- 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.