Thomas Perry Colley, APRN
Individual provider Active NPI Family Nurse Practitioner · Benton, KY
NPI 1851894471 · NPPES record last updated Dec 2, 2023
Key facts
- NPI
- 1851894471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012152 (KY)
- Practice address
- 301 Buffalo Rd
Benton, KY 42025-7356 - Phone
- (270) 703-9697
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180406001260 | KY | Practitioner - Nurse Practitioner | 9739442682 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012152 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Partners, PLLC | Current |
Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current |
Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current |
Accepting new patients |
| Curana Health of Kentucky LLC | Current |
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 (502) 272-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012152 | KY | Yes |
Addresses
Primary practice location
301 Buffalo Rd
Benton, KY 42025-7356
Mailing address
301 Buffalo Rd
Benton, KY 42025-7356
Phone (270) 703-9697
Other providers in Benton, KY
- Amanda Faye Clark
- Clarkson Optometry Midwest Inc
- Clarkson Optometry Midwest Inc.
- William Richard Colburn
- Kristina Kaye Colley
- Joanna Sue Colson
- Community Alternatives Kentucky, Inc.
- Community Care of Kentucky Inc.
- Community Options, Inc.
- Comprehensive Pharmacy Solutions, LLC
All providers in Benton, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.