Baptist Health Medical Group Inc
Organization Active NPI Rural Health Clinic/Center · Richmond, KY
NPI 1982429973 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1982429973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BAPTIST HEALTH MEDICAL GROUP INC
- Practice address
- 103 Alycia Dr
Richmond, KY 40475-2368 - Phone
- (859) 624-6515
- Fax
- (859) 624-6514
- NPI assigned
- Nov 15, 2024
- Organization subpart
- No
Authorized official
- Name
- Danyel D Clay
- Title
- Vice President, Revenue Cycle
- Phone
- (502) 253-4911
Owners & managing parties with NPI records 2
-
Daniel P O'Hair, M.D.
-
Staci Dawn Rogers, M.D.
Corporate family (same tax ID) 13
Member of 1
Facilities with the same owner 29
Practitioners 3
-
Brittany Ann Morguelan, DNP, APRN, FNP-C
-
Dywanda Lynn Lewis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Rural health clinic certification: CCN B08912
- Legal name
- BAPTIST HEALTH MEDICAL GROUP INC
- Doing business as
- BAPTIST HEALTH PRIMARY CARE ALYCIA
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Mar 25, 2026
- Last certification
- Mar 25, 2026
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 103 Alycia Dr
Richmond, KY 40475-2368
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Staci Dawn Farner Rogers |
Corporate Director |
Jan 1, 2022 | |
| Richard Carrico |
Corporate Officer |
Apr 12, 2023 | |
| Janet Norton |
Corporate Officer |
Jul 12, 2006 | |
| Frank Purdy |
Corporate Director |
Jan 1, 2022 | |
| Victoria Buster |
Corporate Director |
Jan 1, 2023 | |
| Danyel D Clay |
Corporate Officer |
Jan 1, 2023 | |
| W-2 Managing Employee |
Jan 1, 2023 | ||
| Isaac J Myers |
Corporate Officer |
Jan 10, 2018 | |
| Joanne M Berryman |
Corporate Director |
Jan 1, 2024 | |
| Daniel P O'Hair |
Corporate Director |
Jan 1, 2024 | |
| Baptist Healthcare System Inc |
5% Or Greater Direct Ownership Interest | Nov 1, 2025 | 100% |
| Ronald Douglas Reed |
Corporate Officer |
Jan 17, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251212002780 | KY | Part a Provider - Rural Health Clinic | 5597867184 | Practice locations: Richmond, KY |
National Provider Directory
- Tax ID family
- Baptist Health Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
103 Alycia Dr
Richmond, KY 40475-2368
Mailing address
1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 253-4911
Other names
- Baptist Health Medical Group Primary Care Alycia
Other providers in Richmond, KY
- Rebecca Banks
- Riley Banks
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Richmond Inc
- Baptist Health Richmond Inc
- Baptist Health Richmond Inc
- Baptist Health Richmond, Inc
- Baptist Health Richmond, Inc.
All providers in Richmond, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.