Individual provider Active NPI

Thomas Perry Colley, APRN

  • Family Nurse Practitioner
  • Benton, KY
National Provider Identifier
1851894471
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012152 Issued in KY
Practice address
301 Buffalo Rd
Benton, KY 42025-7356
Phone
(270) 703-9697
NPI assigned
Mar 9, 2018
Last updated
Dec 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012152 KY Primary

Addresses

Primary practice location

301 Buffalo Rd
Benton, KY 42025-7356

Mailing address

301 Buffalo Rd
Benton, KY 42025-7356
Phone (270) 703-9697

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180406001260 KY Practitioner - Nurse Practitioner 9739442682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Kentucky LLC CurrentSince Aug 20, 2018 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 1, 2018 Accepting new patients
MD Partners, PLLC CurrentSince Nov 4, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

401 Main St
Benton, KY 42025
Phone (270) 906-0369

615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (877) 453-5915

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1851894471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BUFFALO RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257356",
            "telephone_number": "270-703-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BUFFALO RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257356",
            "telephone_number": "270-703-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "THOMAS",
        "middle_name": "PERRY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.