William Kelly Vincent, MD, FASAM

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36099 Issued in KY

Practice address

228 Hopkinsville St
Greenville, KY 42345-1231

Phone

(270) 377-3077

Fax

(270) 338-1234

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Community Health Centers of Western Kentucky, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, KY
  • NPI 1164275491
  NPD (past)
• Community Health Centers of Western Kentucky, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, KY
  • NPI 1306848650
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1801897855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451231",
            "telephone_number": "270-377-3077",
            "fax_number": "270-338-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451231",
            "telephone_number": "270-377-3077",
            "fax_number": "270-338-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "WILLIAM",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "MD, FASAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36099",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "36099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64017379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Tomasic, APRN
• Aric Stephen Trent, REGISTERED DIETITIAN
• Mary Benson Turner, MA
• Donald Vannatta, LCSW
• Larry Dean Vincent, D.C.
• Walgreen Co
• Katie W. Watkins
• Danny Lou Weller, C.R.N.A.
• Felicia Wells
• Brittany Wilkins I

• Family Medicine Physician in Greenville, KY
• Providers in Greenville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.