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CENTRAL KENTUCKY MEDICAL GROUP, PSC
NPI 1568475986
Internal Medicine in Versailles, KY

Active since August 15, 2006
115 CROSSFIELD DR STE A, VERSAILLES, KY 40383(859) 873-9843 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Central Kentucky Medical Group, Psc NPPES

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

CENTRAL KENTUCKY MEDICAL GROUP, PSC (NPI 1568475986) is a healthcare organization registered as an internal medicine in Versailles, Kentucky and active in the NPI registry since August 2006. The organization lists Georgia Blair Barker, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568475986
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTRAL KENTUCKY MEDICAL GROUP, PSC
Location Address115 CROSSFIELD DR STE AVersailles, KY 40383-1845
Mailing Address115 Crossfield Dr Ste AVersailles, KY 40383-1845 · (859) 873-9843
Phone(859) 873-9843
Organization SubpartNo
Authorized OfficialGeorgia Blair BarkerAdministrator · (859) 278-9413
Enumeration DateAugust 15, 2006
Last NPPES UpdateApril 15, 2008
✔ NPI 1568475986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 CROSSFIELD DR STE A, Versailles, KY 40383
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Other Identifiers 1

Medicare ID-Type Unspecified0765KY

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

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 for Provider-Performed Microscopy Procedures (PPMP) 18D0686792

Central Kentucky Medical Group Psc · Versailles, KY
Expired · Aug 31, 2026
CLIA Number18D0686792
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Robby Hutchinson
Laboratory Phone(859) 873-9843
Laboratory LocationCentral Kentucky Medical Group Psc115 A Crossfield Dr, Versailles, KY 40383
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 3

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

KATHERINE BOLLINGER PA-C
Physician Assistant
115 CROSSFIELD DR STE A
VERSAILLES, KY 40383
Woodford County (859) 873-9843
UROLOGIC ASSOCIATES VERSAILLES
Specialist
115 CROSSFIELD DR STE A
VERSAILLES, KY 40383
Woodford County (859) 277-2280
CONNY DALE GOODIN MD
Internal Medicine
115 CROSSFIELD DR STE A
VERSAILLES, KY 40383
Woodford County (859) 873-9843

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 Central Kentucky Medical Group, Psc's NPI number?

The NPI number for Central Kentucky Medical Group, Psc is 1568475986. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Central Kentucky Medical Group, Psc located?

Central Kentucky Medical Group, Psc is located at 115 Crossfield Dr Ste A, Versailles, KY 40383. The listed phone number is (859) 873-9843.

What is Central Kentucky Medical Group, Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Central Kentucky Medical Group, Psc was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.