Individual provider Active NPI

Billie Jean Galyen, MD

  • Pediatrics Physician
  • Greenville, KY
National Provider Identifier
1972699502
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34833 Issued in KY
Practice address
504 Hopkinsville St
Greenville, KY 42345-1104
Phone
(270) 338-6488
Fax
(270) 338-7868
NPI assigned
Oct 4, 2006
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34833 KY Primary

Addresses

Primary practice location

504 Hopkinsville St
Greenville, KY 42345-1104

Mailing address

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

Other identifiers 3

IdentifierTypeStateIssuer
000000512713OtherKYBCBS
31000458MedicaidKY
611268014OtherFEDERAL TAX ID

Other names 1

  • Billie Jean Buchanan Former name

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
I20040507000911 KY Practitioner - Pediatric Medicine 5193714939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34833KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Aug 31, 2015 Accepting new patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Aug 31, 2015 Accepting new patients
Community Health Centers of Western Kentucky Inc Pediatrics Past Accepting new patients

Locations

480 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5777

504 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-6488

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1972699502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-5777",
            "fax_number": "270-338-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451104",
            "telephone_number": "270-338-6488",
            "fax_number": "270-338-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALYEN",
        "first_name": "BILLIE",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "34833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000512713",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000458",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "611268014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLIE",
            "last_name": "BUCHANAN",
            "middle_name": "JEAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.