NPIMap

Organization Active NPI

Kentucky Post-Acute Medical Services 1 PSC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Flemingsburg, KY
National Provider Identifier
1831628783
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
KENTUCKY POST-ACUTE MEDICAL SERVICES 1 PSC
Practice address
55 Foundation Dr
Flemingsburg, KY 41041-9815
Phone
(606) 849-5000
NPI assigned
Jun 5, 2017
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dr. Randal L Dabbs, MDNPI 1326095035
Title
President
Phone
(865) 293-5210

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU Primary

Addresses

Primary practice location

55 Foundation Dr
Flemingsburg, KY 41041-9815

Mailing address

PO Box 639287
Cincinnati, OH 45263-9287
Phone (800) 424-3672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190509000789 KY Part B Supplier - Clinic/Group Practice 9234471426 Receives reassigned benefits from 88 practitioners

National Provider Directory

National Provider Directory

Locations

325 Lincoln Way
Bardstown, KY 40004
Phone (502) 572-4329

400 Bomar Hts
Columbia, KY 42728
Phone (270) 384-2153

200 N Miles St
Elizabethtown, KY 42701
Phone (270) 982-8363

414 Robey St
Franklin, KY 42134
Phone (270) 586-7141

2000 E Peak Rd
Lagrange, KY 40031
Phone (502) 516-3176

1376 Silver Springs Dr
Lexington, KY 40511
Phone (859) 277-0320

706 N Magnolia St
Tompkinsville, KY 42167
Phone (270) 487-6135

Practitioners & affiliated clinicians

Practitioners 91

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.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1831628783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639287",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639287",
            "telephone_number": "800-424-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOUNDATION DR",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410419815",
            "telephone_number": "606-849-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY POST-ACUTE MEDICAL SERVICES 1 PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-293-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.