Carl Gross

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1135824 Issued in KY

Practice address

540 Jett Dr
Jackson, KY 41339-9622

Phone

(606) 666-6000

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Clinics of Kentucky LLCGroup PAC ID 2668457094, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: grossct@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Clinics of Kentucky LLC

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1427161769
  Medicare reassignment Care Compare group NPD
• Combs Mountain Emergency Group, LLC

  • Emergency Medicine Physician
  • Paintsville, KY
  • NPI 1629603527
  Medicare reassignment
• United Clinics of Kentucky LLC

  dba United Clinics of Kentucky Beattyville

  • Rural Health Clinic/Center
  • Campton, KY
  • NPI 1942584081
  NPD
• United Clinics of Kentucky LLC

  dba United Clinics West Liberty

  • Rural Health Clinic/Center
  • West Liberty, KY
  • NPI 1356907224
  NPD (past)
• United Clinics of Kentucky LLC

  dba United Clinics Jackson

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1386425684
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1851842199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SPLIT POPLAR FORK RD",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413147070",
            "telephone_number": "606-568-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399622",
            "telephone_number": "606-666-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "CARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "1135824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subir Ghosh, M.D.
• Jody Robin Gillum
• Jill Elaine Beattie Green, OTR/L
• Ranita Greer
• Rodney Brian Griffith, D.M.D.
• Kelli Gross
• Barbara Ella Hagans
• Eric Bradley Hall
• Derrick Jack Hamilton, D.O.
• Venitia Hardin

• Physician Assistant in Jackson, KY
• Providers in Jackson, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.