Organization Active NPI

John K Garner MD PSC

  • Family Medicine Physician
  • Campbellsville, KY
National Provider Identifier
1821316290
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN K GARNER MD PSC
Practice address
1856 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone
(270) 789-1022
Fax
(270) 789-0530
NPI assigned
May 11, 2010
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
John K Garner, MDNPI 1710088877
Title
Owner
Phone
(270) 789-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1856 Old Lebanon Rd
Campbellsville, KY 42718-9663

Mailing address

1856 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 789-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000032 KY Part B Supplier - Clinic/Group Practice 3779772504 Receives reassigned benefits from 5 practitioners
Practice locations: Campbellsville, KY; Russell Springs, KY; Glasgow, KY

National Provider Directory

National Provider Directory

Locations

1846 Old Lebanon Rd
Campbellsville, KY 42718

1846 Old Lebanon Rd
#1856
Campbellsville, KY 42718

1856 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 789-1022

120 State Ave
#1451
Glasgow, KY 42141
Phone (270) 789-1022

170 State Ave
Glasgow, KY 42141

660 Lakeway Dr
Russell Springs, KY 42642
Phone (270) 858-3003

660 Lakeway Dr
Ste 111
Russell Springs, KY 42642

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1821316290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189663",
            "telephone_number": "270-789-1022",
            "fax_number": "270-789-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189663",
            "telephone_number": "270-789-1022",
            "fax_number": "270-789-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K GARNER MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-789-1022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.