Active NPI
Jackie R Kazee, MD
- Family Medicine Physician
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44622
- Practice address
- 1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087 - Phone
- (606) 836-3196
- Fax
- (606) 836-2564
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44622 | KY | Primary |
| Family Medicine Physician | 207Q00000X | TP001 | KY |
Addresses
Primary practice location
1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Mailing address
1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Phone (606) 836-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110809000517 | KY | Practitioner - Family Practice | 2860661899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
1180 Saint Christopher Dr
Ashland, KY 41101-7055
Phone 6068363196229
2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910
710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157
Hospital & facility affiliations
- Family Home Health Care, LLC Dba Adoration Home Health
- King'S Daughters' Medical Center HHA
- Community Hospice
- Community Hospice of Southern Ohio
- King'S Daughters' Medical Center
- Kings Daughters Medical Center Ohio
- St Marys Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.99 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 79.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44622 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Center, PLLC | Family Medicine | Current | Accepting new patients |
Locations
1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
Phone (606) 836-3196
1180 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 408-3143
Interoperability endpoints
- jkazee72382@direct.kdhealth.us
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Hospice, Inc. | Hospice | Contracted Managing Employee | Jan 2, 2024 |
| Community Hospice of Southern Ohio | Hospice | Contracted Managing Employee | Jan 2, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Ashland, KY
- NPI 1518926369
Contracted Managing Employee
-
- Community Based Hospice Care Agency
- Ironton, OH
- NPI 1013242551
Contracted Managing Employee
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Ashland, KY
- NPI 1679678619
Family Medicine, KY
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ashland, KY
- NPI 1386782050
-
- Home Health Agency
- Ashland, KY
- NPI 1740250133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1679734693",
"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": {
"last_name": "KAZEE",
"first_name": "JACKIE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "44622",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.