McCoy Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MCCOY PRIMARY CARE LLC

Practice address

141 Parkway Dr
Bardstown, KY 40004-3220

Phone

(502) 348-4757

Fax

(502) 348-4755

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Beth A McCoy, APRNNPI 1285089375

Title

Owner

Phone

(502) 348-4757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Beth A McCoy

  • Nurse Practitioner
  • Bardstown, KY
  • NPI 1285089375
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Brooke Smith, APRN

  • Family Nurse Practitioner
  • Bardstown, KY
  • NPI 1184391310
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1659938983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PARKWAY DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043220",
            "telephone_number": "502-348-4757",
            "fax_number": "502-348-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARKWAY DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043220",
            "telephone_number": "502-348-4757",
            "fax_number": "502-348-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-348-4757",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Kimberly Mayer, APRN
• Hannah Marie Mays
• Michael McCance
• Kaitlyn McCauley
• Robert Lee McClellan, OD
• Beth A McCoy
• Holly Kellam McCoy
• Angela McGirk, APRN
• Brittany McIntyre
• Karon S McKay, APRN

• Family Nurse Practitioner in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.