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SOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES PSC
NPI 1740310267
Internal Medicine - Nephrology in Bowling Green, KY

Active since March 06, 2007CLIA 18D0688541 · Microscopy
720 2ND AVE, SUITE 203, BOWLING GREEN, KY 42101(270) 745-1230 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Kentucky Nephrology Associates Psc NPPES

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

SOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES PSC (NPI 1740310267) is a healthcare organization registered as a nephrology in Bowling Green, Kentucky and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Misty Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1740310267
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES PSC
Location Address720 2ND AVE, SUITE 203Bowling Green, KY 42101-1778
Mailing Address720 2nd Ave, Suite 203Bowling Green, KY 42101-1778 · (270) 843-5114 · Fax (270) 745-1230
Phone(270) 745-1230
Organization SubpartNo
Authorized OfficialMisty SmithPractice Manager · (270) 843-5114
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1740310267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
720 2ND AVE, Bowling Green, KY 42101
Open in Google Maps ↗

Other Identifiers 1

Medicaid6592215500KY

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 from Home State Health, Ambetter Health 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 for Provider-Performed Microscopy Procedures (PPMP) 18D0688541

Southern Kentucky Nephrology Associates · Bowling Green, KY
Active · expires Aug 31, 2026
CLIA Number18D0688541
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Jennifer Shuemaker
Laboratory Phone(502) 843-5114
Laboratory LocationSouthern Kentucky Nephrology Associates720 E Second Avenue Suite 203, Bowling Green, KY 42101
CLIA data matches this NPI record on: Name
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 2

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

DEREK LEE REEDER APRN
Nurse Practitioner (Family)
720 2ND AVE
BOWLING GREEN, KY 42101
Warren County (270) 745-1263
DR. DIANA GRANESE M.D.
Obstetrics & Gynecology
720 2ND AVE, SUITE 303
BOWLING GREEN, KY 42101
Warren County (270) 781-5111

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 Southern Kentucky Nephrology Associates Psc's NPI number?

The NPI number for Southern Kentucky Nephrology Associates Psc is 1740310267. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Southern Kentucky Nephrology Associates Psc located?

Southern Kentucky Nephrology Associates Psc is located at 720 2nd Ave Suite 203, Bowling Green, KY 42101. The listed phone number is (270) 745-1230.

What is Southern Kentucky Nephrology Associates Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Southern Kentucky Nephrology Associates Psc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0688541) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Kentucky Nephrology Associates Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Southern Kentucky Nephrology Associates Psc 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 Southern Kentucky Nephrology Associates Psc was last updated on February 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.