Priority Care Associates

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3006470 Issued in KY

Legal business name

PRIORITY CARE ASSOCIATES

Practice address

175 Stateline Rd
Oak Grove, KY 42262-8288

Phone

(270) 302-9564

NPI assigned

Sep 20, 2011

Last updated

Apr 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eddie A Manley, FNPNPI 1538482773

Title

Owner

Phone

(931) 302-9564

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Eddie A Manley, APRN

  • Nurse Practitioner
  • Oak Grove, KY
  • NPI 1538482773
  Authorized official Same address or phone
• Charles Wilkins, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Youngstown, OH
  • NPI 1427134345
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396656000000",
    "number": "1902189541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422411371",
            "telephone_number": "931-302-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STATELINE RD",
            "city": "OAK GROVE",
            "state": "KY",
            "postal_code": "422628288",
            "telephone_number": "270-302-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2014-04-05",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-302-9564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Oak Grove, KY
• Providers in Oak Grove, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.