TAYLOR REGIONAL MEDICAL GROUP, LLC
NPI 1649720699
Pediatrics in Campbellsville, KY

NPI Status: Active since October 13, 2016

Contact Information

125 KINGSWOOD DR
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-1112
Fax: (270) 789-6176

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  • Organization
  • Pediatrics
  • CLIA Number: 18D1104910
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-12-2026

About TAYLOR REGIONAL MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Taylor Regional Medical Group, Llc, a pediatrician established in Campbellsville, Kentucky operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1649720699 assigned on October 2016. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Taylor Regional Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Debra Ann Waldron (Coordinator)

NPI
1649720699
Provider Legal Name
TAYLOR REGIONAL MEDICAL GROUP, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
125 KINGSWOOD DR CAMPBELLSVILLE, KY 42718
Location Phone
(270) 789-1112
Location Fax
(270) 789-6176
Mailing Address
1698 OLD LEBANON RD CAMPBELLSVILLE, KY 42718
Mailing Phone
(270) 789-6087
Mailing Fax
(270) 789-6176
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2016
Last Update Date
07-08-2025
Code Navigator

A pediatrician like Taylor Regional Medical Group, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBRA ANN WALDRON

Authorized Official Title
COORDINATOR
Authorized Official Phone
(270) 465-3561

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100450940MEDICAID (05)KY 
7100450550MEDICAID (05)KY 
7100948510MEDICAID (05)KY 
7100977040MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D1104910
Facility Type
Physician Office
Certificate Effective Date
August 13, 2024
Certificate Expiration Date
August 12, 2026
Laboratory Director
DR. DAVID M. HESSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Taylor Regional Medical Group, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for TAYLOR REGIONAL MEDICAL GROUP, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649720699, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 4 + 2 + 0 + 6 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1649720699.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Ophthalmology
125 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Psychiatry & Neurology (Neurology)
125 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Pediatrics
125 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Nurse Practitioner (Family)
125 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Physician Assistant
125 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649720699, enumerated as an "organization" on October 13, 2016.

The provider is located at 125 KINGSWOOD DR CAMPBELLSVILLE, KY 42718 and the phone number is (270) 789-1112.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.