MCCOY PRIMARY CARE LLC
NPI 1659938983
Nurse Practitioner - Family in Bardstown, KY

Active since May 22, 2019CLIA 18D2172984 · Waiver
141 PARKWAY DR, BARDSTOWN, KY 40004(502) 348-4757(502) 348-4755 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, May 22, 2019 (2 updates tracked since 2019).

About Mccoy Primary Care Llc NPPES

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

MCCOY PRIMARY CARE LLC (NPI 1659938983) is a healthcare organization registered as a family in Bardstown, Kentucky and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Beth A Mccoy, Owner, as its authorized official.

NPPES Registry Identity

NPI1659938983
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMCCOY PRIMARY CARE LLC
Location Address141 PARKWAY DRBardstown, KY 40004-3220
Mailing Address141 Parkway DrBardstown, KY 40004-3220 · (502) 348-4757 · Fax (502) 348-4755
Fax(502) 348-4755
Organization SubpartNo
Authorized OfficialBeth A MccoyOwner · (502) 348-4757
Enumeration DateMay 22, 2019
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
NPI 1659938983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
141 PARKWAY DR, Bardstown, KY 40004

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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 18D2172984

Mccoy Primary Care LLC · Bardstown, KY
Active · expires Oct 2, 2027
CLIA Number18D2172984
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorMs. Beth A. Mccoy
Laboratory Phone(502) 348-4757
Laboratory LocationMccoy Primary Care LLC141 Parkway Dr, Bardstown, KY 40004
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 3

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

Nurse Practitioner (Family)
141 PARKWAY DR
BARDSTOWN, KY 40004
Nurse Practitioner
141 PARKWAY DR
BARDSTOWN, KY 40004
Nurse Practitioner (Family)
141 PARKWAY DR
BARDSTOWN, KY 40004

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 Mccoy Primary Care LLC's NPI number?

The NPI number for Mccoy Primary Care LLC is 1659938983. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Mccoy Primary Care LLC located?

Mccoy Primary Care LLC is located at 141 Parkway Dr, Bardstown, KY 40004. The listed phone number is (502) 348-4757.

What is Mccoy Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mccoy Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2172984) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mccoy Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mccoy Primary Care LLC 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 Mccoy Primary Care LLC was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.