Individual provider Active NPI

Pamela Cavins, NP-C

  • Family Nurse Practitioner
  • Middlesboro, KY
National Provider Identifier
1780122671
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018663 Issued in KY
Practice address
3004 Cumberland Ave
Middlesboro, KY 40965-2343
Phone
(626) 248-4162
Fax
(606) 242-3429
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22232 TN
Family Nurse Practitioner 363LF0000X 3018663 KY Primary

Addresses

Primary practice location

3004 Cumberland Ave
Middlesboro, KY 40965-2343

Mailing address

249 Adair Dr
New Tazewell, TN 37825-5055
Phone (865) 585-8734

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
I20230307001819 KY Practitioner - Nurse Practitioner 0648547794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil G Barry III MD IncGroup PAC ID 5496652240, 3 clinicians

Practice addresses (Care Compare)

2612 Cumberland Ave
Middlesboro, KY 40965-1536

3004 Cumberland Ave
Middlesboro, KY 40965-2343
Phone (606) 248-4162

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Middlesboro, KY, CCN 187306
  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
  • Pineville Community Health Center, Inc Hospital, Pineville, KY, CCN 180154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neil G Barry III MD Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324

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.

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1780122671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ADAIR DR",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378255055",
            "telephone_number": "865-585-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652343",
            "telephone_number": "626-248-4162",
            "fax_number": "606-242-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINS",
        "first_name": "PAMELA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22232",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.