VILLAGE MEDICAL
NPI 1063120194
Clinic/Center - Rural Health in Lebanon, KY

Q: What is Vmd Primary Providers Central Kentucky's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since November 08, 2022CLIA 18D0320437 · Waiver

325 W WALNUT ST STE 600, LEBANON, KY 40033(270) 699-9500(270) 699-9550 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Nov 8, 2022 (2 updates tracked since 2022).

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About Village Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE MEDICAL (NPI 1063120194) is a healthcare organization registered as a rural health in Lebanon, Kentucky and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Rebecca Rager, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1063120194

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameVMD PRIMARY PROVIDERS CENTRAL KENTUCKY

Location Address325 W WALNUT ST STE 600Lebanon, KY 40033-1378

Mailing Address4650 Westway Park Blvd Ste 206Houston, TX 77041-2006

Phone(270) 699-9500

Fax(270) 699-9550

Organization SubpartNo

Authorized OfficialRebecca RagerDirector Revenue Cycle · (844) 969-0686

Enumeration DateNovember 8, 2022

Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1063120194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

325 W WALNUT ST STE 600, Lebanon, KY 40033

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Other Names 1

Doing Business AsVillage Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0320437

Vmd Primary Providers Of Central Kentucky · Lebanon, KY

Active · expires Mar 22, 2028

CLIA Number18D0320437

Laboratory TypeRural Health Clinic

Certificate Effective DateMarch 23, 2026

Certificate Expiration DateMarch 22, 2028

Laboratory DirectorDr. David B. George

Laboratory Phone(270) 699-9500

Laboratory LocationVmd Primary Providers Of Central Kentucky325 West Walnut Street Suite 600, Lebanon, KY 40033

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNE C MORLEY APRN

Nurse Practitioner (Family)