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TAYLOR REGIONAL MEDICAL GROUP LLC
NPI 1073370185
Clinic/Center - Rural Health in Campbellsville, KY

Active since March 05, 2024CLIA 18D0327008 · Waiver
73 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718(270) 849-2379(270) 465-2126 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Apr 12, 2024, Mar 5, 2024 (3 updates tracked since 2024).

About Taylor Regional Medical Group Llc NPPES

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

TAYLOR REGIONAL MEDICAL GROUP LLC (NPI 1073370185), doing business as Taylor Regional Hospital Health Clinic, is a healthcare organization registered as a rural health in Campbellsville, Kentucky and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Debra Waldron, Credentialing Agent, as its authorized official.

NPPES Registry Identity

NPI1073370185
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTAYLOR REGIONAL MEDICAL GROUP LLC
Location Address73 KINGSWOOD DRCampbellsville, KY 42718-9604
Mailing Address1698 Old Lebanon RdCampbellsville, KY 42718-3319 · (270) 789-6087 · Fax (270) 789-6119
Phone(270) 849-2379
Fax(270) 465-2126
Organization SubpartNo
Authorized OfficialDebra WaldronCredentialing Agent · (270) 465-3561
Enumeration DateMarch 5, 2024
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1073370185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
73 KINGSWOOD DR, Campbellsville, KY 42718
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Other Names 1

Doing Business AsTaylor Regional Hospital Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 18D0327008

Taylor Regional Urology · Campbellsville, KY
Active · expires Dec 4, 2027
CLIA Number18D0327008
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorDr. James B. Angel
Laboratory Phone(270) 465-3561
Laboratory LocationTaylor Regional Urology1698 Old Lebanon Road Suite 3A & 3B, Campbellsville, KY 42718
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 9

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

KATOSHA NICOLE RUSSELL MSN, APRN, FNP-BC.
Nurse Practitioner (Family)
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-1112
LAREE SHIVELY APRN
Nurse Practitioner (Family)
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 849-2379
COURTNEY REYNOLDS BOWLING
Nurse Practitioner
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-6175
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Pediatrics
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-1112
RACHAEL DOBSON
Nurse Practitioner (Family)
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 849-2379
DR. WINIT CHARTISATHIAN M.D.
Pediatrics (Adolescent Medicine)
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-1112
MRS. ERIN L HODGES APRN
Nurse Practitioner (Family)
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-1122
SEAN E MAYNARD PA-C
Physician Assistant (Medical)
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 849-2379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Regional Medical Group LLC's NPI number?

The NPI number for Taylor Regional Medical Group LLC is 1073370185. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Taylor Regional Hospital Health Clinic.

Where is Taylor Regional Medical Group LLC located?

Taylor Regional Medical Group LLC is located at 73 Kingswood Dr, Campbellsville, KY 42718. The listed phone number is (270) 849-2379.

What is Taylor Regional Medical Group LLC's specialty?

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

Does Taylor Regional Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0327008) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Taylor Regional Medical Group LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.