Commonwealth Health Corporation, Inc.
Organization Active NPI Internal Medicine Physician · Bowling Green, KY
NPI 1992180772 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1992180772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COMMONWEALTH HEALTH CORPORATION, INC.
- Practice address
- 427 US 31W Byp
Bowling Green, KY 42101-1703 - Phone
- (270) 796-8000
- Fax
- (270) 793-9328
- NPI assigned
- Jul 22, 2015
- Organization subpart
- No
Authorized official
- Name
- Michele W Lawless
- Title
- Executive Vice President & Cfo
- Phone
- (270) 745-1500
Other NPIs on the same Medicare enrollment 42
Corporate family (same tax ID) 31
Practitioners 23
-
Cynthia Jo Bond, APRN
-
Helen Pruitt Carter, M.D.
-
Wallace R Carter Jr., M.D.
-
Angela Clark, APRN
-
Jillian Victoria Clary, DNAP, CRNA
-
Sybil Vasily Cutrone, MSN, APRN, CRNA
-
Abigail Debusk, D.O.
-
Jessica L. Hunter, APRN
-
Beverly G. Jaggers, APRN
-
Douglas J Johnson, M.D.
-
Krystal McKain, APRN
-
Lori Melton Poindexter, APRN
-
Lisa Ann Rabold, CRNA
-
Shannon Renee Shirley, MSN, RN, NP-C
-
Wesley Joseph Sturgill, CRNA
-
Emily Cecil, MD
-
Mark Wayne Jackson, CRNA
-
Derek Lee Reeder, APRN
-
Suman Shekar, MD
-
Rima Rasesh Desai, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2101681 | Med Center Health Primary Care | Certificate of waiver | Sep 7, 2027 |
| 18D2306128 | Med Center Health Primary Care | Certificate of waiver | Jun 11, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040916000800 | KY | Part B Supplier - Clinic/Group Practice | 5496667628 |
Receives reassigned benefits from 306 practitioners 42 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Commonwealth Health
Locations
1791 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4090
825 2nd Ave
Ste B3
Bowling Green, KY 42101
Phone (270) 901-0629
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Sports Medicine (Family Medicine) Physician |
207QS0010X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
427 US 31W Byp
Bowling Green, KY 42101-1703
Mailing address
PO Box 117914
Atlanta, GA 30368-7914
Phone (270) 901-0629
Other practice location 1
291 New Towne Dr
Bowling Green, KY 42103-7996
Phone (270) 796-3510
Other practice location 2
121 College St
Smiths Grove, KY 42171-8239
Phone (270) 796-5599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100367470 | Medicaid | KY | |
| 7100456910 | Medicaid | KY |
Other names
- MED CENTER HEALTH PRIMARY CARE
NPI Registry JSON
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780704000000",
"number": "1992180772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117914",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687914",
"telephone_number": "270-901-0629",
"fax_number": "270-901-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 US 31W BYP",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011703",
"telephone_number": "270-796-8000",
"fax_number": "270-793-9328"
}
],
"practiceLocations": [
{
"address_1": "291 New Towne Dr",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421037996",
"country_code": "US",
"telephone_number": "270-796-3510",
"fax_number": "270-467-2902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 College St",
"address_purpose": "LOCATION",
"city": "Smiths Grove",
"state": "KY",
"postal_code": "421718239",
"country_code": "US",
"telephone_number": "270-796-5599",
"fax_number": "270-563-7534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMONWEALTH HEALTH CORPORATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-22",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A",
"authorized_official_last_name": "LAWLESS",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
"authorized_official_telephone_number": "270-745-1500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100367470",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100456910",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MED CENTER HEALTH PRIMARY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bowling Green, KY
- Commonwealth Health Corporation, Inc.
- Commonwealth Health Corporation, Inc.
- Commonwealth Health Corporation, Inc.
- Commonwealth Health Corporation, Inc.
- Commonwealth Health Corporation, Inc.
- Commonwealth Health Free Clinic, Inc
- Commonwealth Health Free Clinic, Inc.
- Commonwealth of Kentucky
- Commonwealth Pain Associates PLLC
- Commonwealth Pain Associates PLLC
All providers in Bowling Green, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.