Individual provider Active NPI

Gregory D Kingston, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1689710899
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3002602 Issued in KY
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

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6592143900MedicaidKY
P01026376OtherKYRAILROAD MEDICARE LPS
78900180MedicaidKY
78260205MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 249 clinicians

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 Home health agency, Paducah, KY, CCN 187100
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3002602KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rassik Complete Recovery Inc Family CurrentSince Nov 8, 2023 Accepting new patients
Arcare CurrentSince Nov 1, 2013 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Apr 20, 2021 Accepting new patients
Curana Health of Kentucky LLC CurrentSince Oct 1, 2019 Accepting new patients
Arcare CurrentSince Nov 1, 2013 Accepting new patients
Arcare Current Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Apr 20, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.