DANVILLE PEDIATRICS AND PRIMARY CARE, PLLC
NPI 1104103985
Pediatrics in Lawrenceburg, KY

Q: What is Danville Pediatrics And Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 08, 2011CLIA Certified · 3 labs

1180 GLENSBORO RD, LAWRENCEBURG, KY 40342(859) 236-1080(859) 236-1862 Get Directions Write a Review

NPPES record last updated: December 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Danville Pediatrics And Primary Care, Pllc NPPES

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

DANVILLE PEDIATRICS AND PRIMARY CARE, PLLC (NPI 1104103985) is a healthcare organization registered as a pediatrics in Lawrenceburg, Kentucky and active in the NPI registry since November 2011. The organization holds 3 active CLIA laboratory certificates and lists Jeremy Dickinson, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1104103985

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDANVILLE PEDIATRICS AND PRIMARY CARE, PLLC

Location Address1180 GLENSBORO RDLawrenceburg, KY 40342-9034

Mailing Address303 S 4th StDanville, KY 40422-2091 · (859) 236-1080 · Fax (859) 236-1862

Phone(859) 236-1080

Fax(859) 236-1862

Organization SubpartNo

Authorized OfficialJeremy DickinsonMember/owner · (859) 236-1080

Enumeration DateNovember 8, 2011

Last NPPES UpdateDecember 12, 2020

NPPES CertifiedDecember 12, 2020

✔ NPI 1104103985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1180 GLENSBORO RD, Lawrenceburg, KY 40342

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Other Identifiers 1

Medicaid7100000530KY

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 for Provider-Performed Microscopy Procedures (PPMP) 18D0322776

Danville Pediatrics And Primary Care, PLLC · Danville, KY

Active · expires Mar 30, 2028

CLIA Number18D0322776

Laboratory TypePhysician Office

Certificate Effective DateMarch 31, 2026

Certificate Expiration DateMarch 30, 2028

Laboratory DirectorDr. Jeremy T. Dickinson

Laboratory Phone(859) 236-1080

Laboratory LocationDanville Pediatrics And Primary Care, PLLC303 S 4th St, Danville, KY 40422

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2032975

Danville Pediatrics Medical Group, PLLC · Lawrenceburg, KY

Active · expires Nov 17, 2027

CLIA Number18D2032975

Laboratory TypePhysician Office

Certificate Effective DateNovember 18, 2025

Certificate Expiration DateNovember 17, 2027

Laboratory DirectorDr. Douglas Stein

Laboratory Phone(502) 598-4042

Laboratory LocationDanville Pediatrics Medical Group, PLLC1180 Glensboro Road, Lawrenceburg, KY 40342

CLIA data matches this NPI record on: Address

Certificate of Waiver 18D2244859

Danville Pediatrics Medical Group, PLLC · Danville, KY

Active · expires Dec 6, 2027

CLIA Number18D2244859

Laboratory TypeRural Health Clinic

Certificate Effective DateDecember 7, 2025

Certificate Expiration DateDecember 6, 2027

Laboratory DirectorDr. Matthew Graves

Laboratory Phone(859) 236-1080

Laboratory LocationDanville Pediatrics Medical Group, PLLC303 S Fourth Street Suite 100, Danville, KY 40422

CLIA data matches this NPI record on: Phone

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

Other Providers at the Same Location NPPES 2

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

DANVILLE PEDIATRICS AND PRIMARY CARE, PLLC

Clinic/Center (Rural Health)

1180 GLENSBORO RD
LAWRENCEBURG, KY 40342

Anderson County (502) 598-3042

DANVILLE PEDIATRICS MEDICAL GROUP PLLC

Clinic/Center (Rural Health)

1180 GLENSBORO RD
LAWRENCEBURG, KY 40342

Anderson County (502) 598-3042

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 Danville Pediatrics And Primary Care, PLLC's NPI number?

The NPI number for Danville Pediatrics And Primary Care, PLLC is 1104103985. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Danville Pediatrics And Primary Care, PLLC located?

Danville Pediatrics And Primary Care, PLLC is located at 1180 Glensboro Rd, Lawrenceburg, KY 40342. The listed phone number is (859) 236-1080.

What is Danville Pediatrics And Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Danville Pediatrics And Primary Care, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Danville Pediatrics And Primary Care, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Danville Pediatrics And Primary Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Danville Pediatrics And Primary Care, PLLC was last updated on December 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.