Active NPI
Gregory D Kingston, APRN
- Family Nurse Practitioner
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3002602
- Practice address
- 125 S 20TH St
Paducah, KY 42001-7100 - Phone
- (270) 575-3247
- Fax
- (270) 442-7335
- NPI assigned
- Jan 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3002602 | KY | Primary |
Addresses
Primary practice location
125 S 20TH St
Paducah, KY 42001-7100
Mailing address
117 S 2ND St
PO Box 497
Augusta, AR 72006-2309
Phone (870) 347-2534
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6592143900 | Medicaid | KY | |
| P01026376 | Other | KY | RAILROAD MEDICARE LPS |
| 78900180 | Medicaid | KY | |
| 78260205 | Medicaid | KY |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120131000871 | KY | Practitioner - Nurse Practitioner | 5698833531 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcare
Practice addresses (Care Compare)
125 S 20TH St
Paducah, KY 42001-7100
Phone (270) 415-0467
3360 Wayne Sullivan Dr
Paducah, KY 42003-0337
Phone (270) 443-9474
Hospital & facility affiliations
- Mercy Health - Home Care, Paducah
- Baptist Health Paducah
- Mercy Health - Lourdes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002602 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rassik Complete Recovery Inc | Family | Current | Accepting new patients |
| Arcare | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Curana Health of Kentucky LLC | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Marshall County Medical Associates | Past | Accepting new patients | |
| Lifeline Recovery Center, Inc. | Past | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
117 S 2nd St
Augusta, AR 72006
120 N 4th St
Barlow, KY 42024
Phone (270) 334-3131
83 Wellness Way
Benton, KY 42025
Phone (270) 527-8601
4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (502) 272-4400
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1532 Lone Oak Rd
Ste 345
Paducah, KY 42003
Phone (270) 442-6161
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
850 Cutoff Rd
Smithland, KY 42081
Phone (270) 928-3500
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
Interoperability endpoints
- gregory.kingston@arcare.directbygreenway.com
Organizations & group practices 11
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.
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Federally Qualified Health Center (FQHC)
- Augusta, AR
- NPI 1275635542
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Substance Abuse Rehabilitation Facility
- Kevil, KY
- NPI 1912586389
-
- Family Medicine Physician
- Benton, KY
- NPI 1477605988
-
- Federally Qualified Health Center (FQHC)
- Brinkley, AR
- NPI 1669433363
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Paducah, KY
- NPI 1235957168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1689710899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S 2ND ST",
"address_2": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720062309",
"telephone_number": "870-347-2534",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S 20TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017100",
"telephone_number": "270-575-3247",
"fax_number": "270-442-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTON",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3002602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6592143900",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE LPS",
"identifier": "P01026376",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78900180",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78260205",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.