NPIMap

Organization Active NPI

Teal Group PLLC

Doing business as United Medical Group

  • Addiction Medicine (Family Medicine) Physician
  • Pikeville, KY
National Provider Identifier
1659819647
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
02802 Issued in KY
Legal business name
TEAL GROUP PLLC
Doing business as
United Medical Group
Practice address
50 Weddington Branch Rd
Pikeville, KY 41501-3296
Phone
(606) 437-2400
Fax
(606) 437-2401
NPI assigned
Feb 9, 2017
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED MEDICAL GROUP BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Ms. Suzanne Ford, DONPI 1023066032
Title
President
Phone
(606) 437-2400

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009093 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 103079 KY
Professional Counselor 101YP2500X 103079 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 02802 KY Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 02861 KY

Addresses

Primary practice location

50 Weddington Branch Rd
Pikeville, KY 41501-3296

Mailing address

258 North Levisa Road
Mouthcard, KY 41548-8331
Phone (606) 437-2400

Other names 1

  • UNITED MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Part of
Teal Group PLLC

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1659819647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 NORTH LEVISA ROAD",
            "city": "MOUTHCARD",
            "state": "KY",
            "postal_code": "415488331",
            "telephone_number": "606-437-2400",
            "fax_number": "606-437-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WEDDINGTON BRANCH RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013296",
            "telephone_number": "606-437-2400",
            "fax_number": "606-437-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED MEDICAL GROUP BEHAVIORAL HEALTH",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-437-2400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009093",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "103079",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103079",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "02802",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "02861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNITED MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.