| Taylor Regional Medical Group, Llc | |
|
67 Kingswood Dr Campbellsville KY 42718-9647 | |
| (270) 849-2379 | |
| Not Available |
| Full Name | Taylor Regional Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 67 Kingswood Dr, Campbellsville, Kentucky |
| Authorized Official Name and Position | Debra Ann Waldron (COORDINATOR) |
| Authorized Official Contact | 2704653561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Regional Medical Group, Llc 67 Kingswood Dr Campbellsville KY 42718-9647 Ph: (270) 849-2379 | Taylor Regional Medical Group, Llc 67 Kingswood Dr Campbellsville KY 42718-9647 Ph: (270) 849-2379 |
| NPI Number | 1699030031 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 03/31/2025 |
| Medicare PECOS PAC ID | 4880616622 |
|---|---|
| Medicare Enrollment ID | O20120827000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699030031 | NPI | - | NPPES |
| 7100218300 | Medicaid | KY | |
| 7100223370 | Medicaid | KY | |
| 7100218170 | Medicaid | KY |
| Provider Name | James Ewing |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376532564 PECOS PAC ID: 9436041969 Enrollment ID: I20040329000430 |
| Provider Name | Tammy Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659434280 PECOS PAC ID: 4486644523 Enrollment ID: I20040512001227 |
| Provider Name | Stephen Md Hinton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356333108 PECOS PAC ID: 3476544420 Enrollment ID: I20040519001244 |
| Provider Name | Karen R Orberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891746004 PECOS PAC ID: 5193768257 Enrollment ID: I20050609000200 |
| Provider Name | Shelli Elaine Conyers-votaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114052701 PECOS PAC ID: 5799713756 Enrollment ID: I20050801000252 |
| Provider Name | Eugene H Shively |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396720132 PECOS PAC ID: 4880616010 Enrollment ID: I20051230000453 |
| Provider Name | Lora D Sztendera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114069481 PECOS PAC ID: 6305917964 Enrollment ID: I20080625000489 |
| Provider Name | Thomas L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508864117 PECOS PAC ID: 3274697255 Enrollment ID: I20090206000110 |
| Provider Name | David A Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538151139 PECOS PAC ID: 5597857953 Enrollment ID: I20090206000168 |
| Provider Name | Joel D Eade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699772335 PECOS PAC ID: 1052403417 Enrollment ID: I20090209000162 |
| Provider Name | Lee A Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114239704 PECOS PAC ID: 5193841419 Enrollment ID: I20100923001357 |
| Provider Name | Angela Jo Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982958229 PECOS PAC ID: 1254578503 Enrollment ID: I20130506000495 |
| Provider Name | Jason Alan Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144646068 PECOS PAC ID: 2163654252 Enrollment ID: I20140403000903 |
| Provider Name | Michael Haliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336521616 PECOS PAC ID: 7416250063 Enrollment ID: I20160114002669 |
| Provider Name | William G Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548782758 PECOS PAC ID: 6305118647 Enrollment ID: I20170821002242 |
| Provider Name | Morgan Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346762663 PECOS PAC ID: 1355696618 Enrollment ID: I20180611001218 |
| Provider Name | Kelli S Nunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548742869 PECOS PAC ID: 5092067868 Enrollment ID: I20181004002757 |
| Provider Name | Rachael Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132128 PECOS PAC ID: 3678814688 Enrollment ID: I20190401000476 |
| Provider Name | Dana Michelle Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245842566 PECOS PAC ID: 2567881675 Enrollment ID: I20200923000859 |
| Provider Name | Maci Mcqueary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104430297 PECOS PAC ID: 2567872856 Enrollment ID: I20201027001763 |
| Provider Name | Laree Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487261228 PECOS PAC ID: 4981015278 Enrollment ID: I20201117001610 |
| Provider Name | Megan Peake Durrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193589 PECOS PAC ID: 5395159669 Enrollment ID: I20210127002564 |
| Provider Name | Bethany Faye Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437756012 PECOS PAC ID: 7810394848 Enrollment ID: I20210917002066 |
| Provider Name | Linnea Diane Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522889 PECOS PAC ID: 1153711791 Enrollment ID: I20211214001128 |
| Provider Name | Erica Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720747298 PECOS PAC ID: 4486041944 Enrollment ID: I20220502000709 |
| Provider Name | Mariah Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699474270 PECOS PAC ID: 6608241740 Enrollment ID: I20230404000387 |
| Provider Name | Brittany Nicole Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174181994 PECOS PAC ID: 0547599581 Enrollment ID: I20241111000108 |
| Provider Name | Sara Elizabeth Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457150880 PECOS PAC ID: 8921523309 Enrollment ID: I20250417002455 |
Taylor County Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 E 1st St, Campbellsville, KY 42718 Phone: 270-465-4841 Fax: 270-465-0120 | |
Cassandra Stephens, Md, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 Ubermonkey Lane, Campbellsville, KY 42718 Phone: 270-465-0060 Fax: 270-465-0134 | |
Taylor Regional Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-849-2379 Fax: 270-465-2126 | |
Taylor County Hospital District Health Facilities Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-2116 Fax: 270-465-2126 | |
Taylor Regional Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-2116 Fax: 270-465-2126 | |
Cumberland Family Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 E Broadway, Campbellsville, KY 42718 Phone: 844-435-0900 Fax: 270-858-4029 | |
Tucker Family Medicine Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718 Phone: 270-465-0191 |