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: October 18, 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, 2028 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Kentucky Nephrology Associates Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Southern Kentucky Nephrology Associates Psc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nephrology7
Nurse Practitioner5

Clinicians, nearest first (12)

Nephrology
NPI 1659900827
720 2ND AVE STE 203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1912559691
720 2ND AVE STE 203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821051475
720 E 2ND AVE SUITE# 203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1316930647
720 E SECOND AVE SUITE 301 SOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1891758439
720 E 2ND AVE SUITE #203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1174784466
720 2ND AVE STE 203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1568425106
720 E 2ND AVE SUITE #203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710542477
720 2ND AVE STE 301
Bowling Green, KY 42101
(270) 843-5114
✔ PECOSSame address
Nurse Practitioner
NPI 1952990509
720 2ND AVE STE 301
Bowling Green, KY 42101
(270) 843-5114
✔ PECOSSame address
Nephrology
NPI 1891374617
720 E 2ND AVE STE 203
Bowling Green, KY 42101
(270) 843-5114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255955654
6807 LOUISVILLE RD
Bowling Green, KY 42101
(270) 781-6477
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1821797408
405 S L ROGERS WELLS BLVD
Glasgow, KY 42141
(270) 479-0256
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028
CLIA Number18D0688541
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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.

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.

Is Southern Kentucky Nephrology Associates Psc enrolled in Medicare?

Yes. Southern Kentucky Nephrology Associates Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Kentucky Nephrology Associates Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Kentucky Nephrology Associates Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (7) and Nurse Practitioner (5). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028. 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 of Tennessee and Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.