SOUTHERN MEDICAL PARTNERS (NPI# 1275554016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275554016 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MEDICAL PARTNERS |
| Practice Address |
277 Roy Campbell Dr Hazard KY 41701-9485 |
| Practice Telephone | 6064351708 |
| Practice Fax Number | 6064352445 |
| Mailing Telephone | 6064351708 |
| Mailing Fax Number | 6064352445 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BENNY RAY BAILEY II (CEO) |
| Authorized Official Telephone | 6064351708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
34644 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAL LICENSURE | 34644 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Southern Medical Partners, L.L.C. | 200 Corporate Blvd, Lafayette, LA 70508 |
| North Carolina Corporations | Southern Medical Partners, L.L.C. | 1300 Riverplace Blvd, #300, Jacksonville, FL 32207-9018 |
| Alabama Business Registrations | Southern Medical Partners, L.L.C. | 1300 Riverplace Blvd Suite 300, Jacksonville, FL 32207 |
| Indiana Business Entities | SOUTHERN MEDICAL PARTNERS, L.L.C. | 1300 Riverplace Blvd, Ste 300, Jacksonville, FL 32207 |
| Street Address |
277 ROY CAMPBELL DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265473193 | Percival A Pajel | Emergency Medicine | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2006-06-10 |
| 1699242396 | Rhonda Yvonne Sexton | Counselor | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2018-10-31 |
| 1366976383 | Brenda Lee Slone | Case Manager/Care Coordinator | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2017-04-17 |
| 1780073866 | Kristi Elrod | Counselor | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2015-01-13 |
| 1598924136 | Aiping Luan | Internal Medicine | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2008-06-09 |
| 1104846765 | Asmat Ullah | Emergency Medicine | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2006-07-19 |
| 1124044771 | Purushotham Gorrey | Emergency Medicine | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2006-07-15 |
| 1740223726 | Larry B Francis | Emergency Medicine | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922379734 | Community Urgent Care Center, LLC | Clinic/Center | 927 E Broadway Ste B, Louisville, KY 40204-1001 | 2012-01-25 |
| 1881726347 | Fleming Medical Center LLC | Clinic/Center | 55 Foundation Drive, Flemingsburg, KY 41041 | 2007-03-11 |
| 1578194890 | Pineville Er Services | Clinic/Center | 850 Riverview Ave, Pineville, KY 40977-1452 | 2020-01-27 |
| 1942362058 | Kentuckiana Emergency Physicians | Clinic/Center | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2006-12-14 |
Please comment or provide details below to improve the information on SOUTHERN MEDICAL PARTNERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.