Family Medicine Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE CENTER, PLLC

Practice address

1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087

Phone

(606) 836-3196

Fax

(606) 836-2564

NPI assigned

Sep 14, 2006

Last updated

Dec 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie R Kazee, MDNPI 1679734693

Title

Physician Partner

Phone

(606) 836-3196

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

Enrollment records 2

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 7

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.

• Jackie R Kazee, MD

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1679734693
  Medicare reassignment Care Compare group NPD Authorized official
• Abbe Marissa Cassity, D.O.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1629177738
  Medicare reassignment Care Compare group NPD
• Sarah D Ervin, PA-C

  • Medical Physician Assistant
  • Ashland, KY
  • NPI 1750532867
  Medicare reassignment Care Compare group NPD
• Rancie Wayne Hannah, MD

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1275530008
  Medicare reassignment Care Compare group NPD
• Derek W, Jones, D.O.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1477754919

  OH

  Medicare reassignment Care Compare group NPD
• Audrey Renee Smith, DO

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1538514567
  Medicare reassignment Care Compare group NPD
• Bethany D Lucas, M.D.

  • Family Medicine Physician
  • Edgewood, KY
  • NPI 1477792489
  Medicare reassignment NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1679678619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "KAZEE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "606-836-3196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100149760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairview Independent Secondary Schools
• Faith, Hope & Love LLC
• Falco Enterprises, LLC
• Family Allergy Services, Inc.
• Family Home Health Care LLC (Adoration Home Health)
• Familyfirst Medicine, LLC
• Amie Lynn Fannin, APRN
• Franklin W Fannin, M.D.
• Janet Jean Fannin, R.D.
• Leslie Fannin

• Family Medicine Physician in Ashland, KY
• Providers in Ashland, 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 Dec 20, 2016; 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.