NPIMap

Individual provider Active NPI

Kimberly Yvonne Eakle, M.D.

  • Internal Medicine Physician
  • Gamaliel, KY
National Provider Identifier
1982640231
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28800 Issued in KY
Practice address
102 Rhodes St
Gamaliel, KY 42140-8942
Phone
(270) 457-3000
Fax
(270) 457-2315
NPI assigned
Jun 22, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28800 KY Primary

Addresses

Primary practice location

102 Rhodes St
Gamaliel, KY 42140-8942

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other identifiers 2

IdentifierTypeStateIssuer
64288004MedicaidKY
4044637MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100313000006 KY Practitioner - Family PracticePractitioner - Internal Medicine 6305971557 Reassigns benefits to 2 organizations
I20120124000266 TN Practitioner - Internal Medicine 6305971557 Practice locations: Red Boiling Springs, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Foundation, Inc.Group PAC ID 5092702472, 30 clinicians

Practice addresses (Care Compare)

102 Rhodes St
Gamaliel, KY 42140-8942
Phone (270) 457-3000

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone 27048792311199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Foundation, Inc. CurrentSince Nov 7, 1996 Accepting new patients
Monroe Medical Foundation, Inc. Internal Medicine Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Apr 25, 2016 Accepting new patients
Monroe Medical Foundation Inc CurrentSince Nov 7, 1996 Accepting new patients
Monroe Medical Foundation, Inc. Past Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients
LP Tompkinsville, LLC Past Accepting new patients

Locations

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

309 Main St
Red Boiling Springs, TN 37150
Phone (270) 487-9272

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kimberlyeakle@direct.meditouchehr.com
  • Direct secure messaging: kyemd@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Palace Healthcare and Rehabilitation CenterRed Boiling Springs, TN, CCN 445329 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Mar 24, 2026
Mar 24, 2026
Mar 24, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Red Boiling Springs TN Opco LLC

    dba The Palace Healthcare and Rehabilitation Center

    • Skilled Nursing Facility
    • Red Boiling Springs, TN
    • NPI 1114571627

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Organizations & group practices 8

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 11

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1982640231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RHODES ST",
            "city": "GAMALIEL",
            "state": "KY",
            "postal_code": "421408942",
            "telephone_number": "270-457-3000",
            "fax_number": "270-457-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKLE",
        "first_name": "KIMBERLY",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "28800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64288004",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4044637",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gamaliel, KY

Sources for this page

Verify at the official NPI Registry.