NPIMap

Individual provider Active NPI

Virginia King Purdom, M.D.

  • Family Medicine Physician
  • Danville, KY
National Provider Identifier
1720214489
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45084 Issued in KY
Practice address
109 Daniel Dr
Danville, KY 40422-2527
Phone
(859) 236-3361
Fax
(859) 239-9484
NPI assigned
Jun 8, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 31728 SC
Family Medicine Physician 207Q00000X 45084 KY Primary

Addresses

Primary practice location

109 Daniel Dr
Danville, KY 40422-2527

Mailing address

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

Other identifiers 1

IdentifierTypeStateIssuer
7100202750MedicaidKY

Other names 1

  • Dr. Virginia King Purdom Professional name

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
I20120716000495 KY Practitioner - Family Practice 0345406575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31728SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Jul 24, 2019 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jul 24, 2019 Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

280 Lincoln Dr
Springfield, KY 40069
Phone (859) 336-9801

5130 Parkway Plaza Blvd
Charlotte, NC 28217

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 11

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720214489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-3361",
            "fax_number": "859-239-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-3361",
            "fax_number": "859-239-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDOM",
        "first_name": "VIRGINIA",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31728",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "PURDOM",
            "middle_name": "KING",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.