1. Home
  2. Directory
  3. Kentucky
  4. Danville
  5. Pediatrics
  6. NPI Profile

DANVILLE PEDIATRICS AND PRIMARY CARE, PLLC
NPI 1265547723
Pediatrics in Danville, KY

Active since August 21, 2006CLIA 18D2244859 · Waiver
303 S 4TH ST, DANVILLE, KY 40422(859) 236-1080(859) 236-1862 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1265547723) is a healthcare organization registered as a pediatrics in Danville, Kentucky and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Jeremy Dickinson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265547723
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDANVILLE PEDIATRICS AND PRIMARY CARE, PLLC
Location Address303 S 4TH STDanville, KY 40422-2004
Mailing Address303 S 4th StDanville, KY 40422-2004 · (859) 236-1080 · Fax (859) 236-1862
Phone(859) 236-1080
Fax(859) 236-1862
Organization SubpartNo
Authorized OfficialJeremy DickinsonMedical Director · (859) 236-1080
Enumeration DateAugust 21, 2006
Last NPPES UpdateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
✔ NPI 1265547723 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.
303 S 4TH ST, Danville, KY 40422
Open in Google Maps ↗

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 Health, Ambetter of Tennessee and more.Insurance ›

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 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 15

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

DR. JOSHUA SCOTT WIGLESWORTH M.D.
Pediatrics
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080
MIRANDA LOU MUNDAY MD
Pediatrics
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080
DR. CAROLYN S MOODY DMD
Dentist (Pediatric Dentistry)
303 S 4TH ST, SUITE 200
DANVILLE, KY 40422
Boyle County (859) 236-8448
MRS. LARYN ELISE MERTZ ARNP, FNP-C
Nurse Practitioner (Family)
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080
DANVILLE PEDIATRICS AND PRIMARY CARE, PLLC
Clinic/Center (Rural Health)
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080
KATHERINE RAHENKAMP APRN
Nurse Practitioner (Psychiatric/Mental Health)
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080
MRS. RACHEL COOPER BRIESE PNP
Nurse Practitioner (Pediatrics)
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080
SHELLEY RENEE GOVER ARNP
Nurse Practitioner (Neonatal)
303 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-1080

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 1265547723. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Danville Pediatrics And Primary Care, PLLC located?

Danville Pediatrics And Primary Care, PLLC is located at 303 S 4th St, Danville, KY 40422. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2244859) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield 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 October 7, 2021. 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.