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PEDIATRICS OF BULLITT COUNTY PLLC
NPI 1164293908
Clinic/Center - Rural Health in Shepherdsville, KY

Active since January 10, 2024CLIA Certified · 2 labs
1707 CEDAR GROVE RD STE 20, SHEPHERDSVILLE, KY 40165(502) 215-5090(502) 215-5095 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatrics Of Bullitt County Pllc NPPES

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

PEDIATRICS OF BULLITT COUNTY PLLC (NPI 1164293908) is a healthcare organization registered as a rural health in Shepherdsville, Kentucky and active in the NPI registry since January 2024. The organization holds 2 active CLIA laboratory certificates and lists Casey Miles Lewis, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1164293908
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRICS OF BULLITT COUNTY PLLC
Location Address1707 CEDAR GROVE RD STE 20Shepherdsville, KY 40165-8592
Mailing Address327 Eastbrooke Pointe Dr Ste 200Mount Washington, KY 40047-5577 · (502) 538-5090
Phone(502) 215-5090
Fax(502) 215-5095
Organization SubpartNo
Authorized OfficialCasey Miles LewisManaging Partner · (502) 538-5090
Enumeration DateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1164293908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1707 CEDAR GROVE RD STE 20, Shepherdsville, KY 40165
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CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 18D2073257

Pediatrics Of Bullitt County · Mount Washington, KY
Active · expires May 19, 2028
CLIA Number18D2073257
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorDr. Casey Lewis
Laboratory Phone(502) 538-5090
Laboratory LocationPediatrics Of Bullitt County327 Eastbrooke Pointe Drive Ste 200, Mount Washington, KY 40047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 18D1095817

Pediatrics Of Bullitt County · Shepherdsville, KY
Active · expires May 25, 2027
CLIA Number18D1095817
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Casey Lewis
Laboratory Phone(502) 215-5090
Laboratory LocationPediatrics Of Bullitt County1707 Cedar Grove Rd Ste 20, Shepherdsville, KY 40165
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

SARA WOODRING MD
Pediatrics
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 215-5090
TIFFANY ANN BICKETT M.A.
Counselor (Mental Health)
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 215-5090
DR. ROBERT CALEB BUEGE M.D.
Pediatrics
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 215-5090
DR. CASEY MILES LEWIS MD
Pediatrics
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 215-5090
LESLIE BROOKE CAUGHRON APRN
Nurse Practitioner (Pediatrics)
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 215-5090

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 Pediatrics Of Bullitt County PLLC's NPI number?

The NPI number for Pediatrics Of Bullitt County PLLC is 1164293908. It was assigned to this organization in the NPPES registry on January 10, 2024.

Where is Pediatrics Of Bullitt County PLLC located?

Pediatrics Of Bullitt County PLLC is located at 1707 Cedar Grove Rd Ste 20, Shepherdsville, KY 40165. The listed phone number is (502) 215-5090.

What is Pediatrics Of Bullitt County PLLC's specialty?

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

Does Pediatrics Of Bullitt County PLLC hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Pediatrics Of Bullitt County PLLC was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.