CONCENTRA PRIMARY CARE
NPI 1134476203
Clinic/Center - Primary Care in Nicholasville, KY

Active since August 08, 2012CLIA 18D2053148 · Waiver
204 BELLAIRE DRIVE, NICHOLASVILLE, KY 40356(859) 887-4882(859) 881-1728 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Concentra Primary Care NPPES

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

CONCENTRA PRIMARY CARE (NPI 1134476203) is a healthcare organization registered as a primary care in Nicholasville, Kentucky and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Robert Hassett, President / Treasurer, as its authorized official.

NPPES Registry Identity

NPI1134476203
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCONCENTRA PRIMARY CARE PA
Location Address204 BELLAIRE DRIVENicholasville, KY 40356-8840
Mailing Address5080 Spectrum Drive, Suite 1200 WestAddison, TX 75001-4648 · (972) 720-7772 · Fax (214) 775-4502
Fax(859) 881-1728
Organization SubpartNo
Authorized OfficialRobert HassettPresident / Treasurer · (972) 364-8000
Enumeration DateAugust 8, 2012
Last NPPES UpdateFebruary 3, 2016
NPI 1134476203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
204 BELLAIRE DRIVE, Nicholasville, KY 40356

Other Names 1

Doing Business AsConcentra Primary Care

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 18D2053148

Concentra Primary Care - Nicholasville · Nicholasville, KY
Active · expires Mar 9, 2028
CLIA Number18D2053148
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorDr. Uzma Aslam
Laboratory Phone(859) 887-4882
Laboratory LocationConcentra Primary Care - Nicholasville204 Bellaire Drive, Nicholasville, KY 40356
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
204 BELLAIRE DRIVE
NICHOLASVILLE, KY 40356

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 Concentra Primary Care PA's NPI number?

The NPI number for Concentra Primary Care PA is 1134476203. It was assigned to this organization in the NPPES registry on August 8, 2012. The provider is doing business as Concentra Primary Care.

Where is Concentra Primary Care PA located?

Concentra Primary Care PA is located at 204 Bellaire Drive, Nicholasville, KY 40356. The listed phone number is (859) 887-4882.

What is Concentra Primary Care PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Concentra Primary Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2053148) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Concentra Primary Care PA was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.