Individual provider Active NPI

John Wesley Prince Jr., MD

  • Emergency Medicine Physician
  • Flemingsburg, KY
National Provider Identifier
1962424382
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36068 Issued in KY
Practice address
55 Foundation Dr
Flemingsburg, KY 41041-9815
Phone
(859) 335-9041
Fax
(859) 335-9072
NPI assigned
Jul 24, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36068 KY Primary

Addresses

Primary practice location

55 Foundation Dr
Flemingsburg, KY 41041-9815

Mailing address

PO Box 1650
Akron, OH 44309-1650
Phone (330) 864-8900

Other identifiers 4

IdentifierTypeStateIssuer
000000259709OtherKYANTHEM
50005474OtherKYPASSPORT
P00015881OtherKYRR-MEDICARE
64046618MedicaidKY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000495 KY Practitioner - Emergency Medicine 2062448533 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yalinie Medics LLCGroup PAC ID 5991938557, 7 clinicians

Practice addresses (Care Compare)

80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 654-2412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Emergency Medicine CurrentSince Feb 7, 2018 Accepting new patients
Rockcastle Emergency Group, LLC Emergency Medicine CurrentSince Aug 3, 2021 Accepting new patients
Pineville Community Health Center Inc CurrentSince Mar 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 29, 2013 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Pineville Community Health Center Inc Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: rhcjprince@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1962424382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091650",
            "telephone_number": "330-864-8900",
            "fax_number": "330-869-8924"
        },
        {
            "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": "859-335-9041",
            "fax_number": "859-335-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "36068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000259709",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50005474",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR-MEDICARE",
            "identifier": "P00015881",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64046618",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

Verify at the official NPI Registry.