NPIMap

Individual provider Active NPI

William Jerome Gay, DO

  • Family Medicine Physician
  • Beattyville, KY
National Provider Identifier
1699071480
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03453 Issued in KY
Practice address
1027 Hwy 11 North
Beattyville, KY 41311
Phone
(606) 464-0061
Fax
(606) 464-0420
NPI assigned
Jan 27, 2011
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2133 KY
Family Medicine Physician 207Q00000X 03453 KY Primary

Addresses

Primary practice location

1027 Hwy 11 North
Beattyville, KY 41311

Mailing address

1027 Hwy 11 North
Beattyville, KY 41311
Phone (606) 464-0061

Other identifiers 1

IdentifierTypeStateIssuer
7100160250MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000052 KY Practitioner - Family Practice 9830376813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital CorporationGroup PAC ID 0345134318, 12 clinicians

Practice addresses (Care Compare)

1027 Hwy 11 N
Beattyville, KY 41311-9240
Phone (606) 464-0061

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R2133KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital Corporation CurrentSince Apr 1, 2013 Accepting new patients
Jackson Hospital Corporation Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Jackson Physician Corp Past Accepting new patients
Jackson Hospital Corporation Past Accepting new patients

Locations

1027 Highway 11 N
Beattyville, KY 41311
Phone (606) 464-0061

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

Interoperability endpoints

  • Direct secure messaging: wgay140@yourcarecommunity.org
  • Direct secure messaging: william.gay.1@1885.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1699071480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 HWY 11 NORTH",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "41311",
            "telephone_number": "606-464-0061",
            "fax_number": "606-464-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 HWY 11 NORTH",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "41311",
            "telephone_number": "606-464-0061",
            "fax_number": "606-464-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "WILLIAM",
        "middle_name": "JEROME",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R2133",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100160250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beattyville, KY

Sources for this page

Verify at the official NPI Registry.