Sam Persad, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18333 Issued in KY

Practice address

730 North Main Street
Franklin, KY 42134-1332

Phone

(270) 586-7053

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center Home Care Program Home health agency, Bowling Green, KY, CCN 187044
• The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Bowling Green-Warren County Community Hospital Corporation

  • Home Health Agency
  • Bowling Green, KY
  • NPI 1144205758
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Franklin, KY
  • NPI 1831173467

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821153677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NORTH MAIN STREET",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421341332",
            "telephone_number": "270-586-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NORTH MAIN STREET",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421341332",
            "telephone_number": "270-586-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAD",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "18333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64183338",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack K Patterson, MD
• Peaceful Solutions Counseling Services LLC
• Tara Pedigo, PHARMD
• James Pennington, LPC
• Tara S. Perdue, APRN
• Haley Petty, DPT
• Lacey K Phillips
• Jeri Lyn Powell, COTA
• Lacy Powell
• Robin Gayle Presley

• All providers in Franklin, KY
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.