CAROL B PEDDICORD MD PLLC - NPI 1760874713 - Family Medicine in Albany, KY

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Carol B Peddicord Md Pllc NPPES

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

CAROL B PEDDICORD MD PLLC (NPI 1760874713) is a healthcare organization registered as a family medicine in Albany, Kentucky and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Carol Peddicord, Owner, as its authorized official.

NPPES Registry Identity

NPI1760874713

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCAROL B PEDDICORD MD PLLC

Location Address250 BURKESVILLE RDAlbany, KY 42602-1604

Mailing Address250 Burkesville RdAlbany, KY 42602-1604 · (606) 387-0323 · Fax (606) 387-0310

Phone(606) 387-0323

Fax(606) 387-0310

Organization SubpartNo

Authorized OfficialCarol PeddicordOwner · (606) 688-4470

Enumeration DateFebruary 28, 2015

Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1760874713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 25961

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

250 BURKESVILLE RD, Albany, KY 42602

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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

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 of Waiver 18D2100797

Carol B Peddicord, MD PLLC · Albany, KY

Active · expires Aug 23, 2027

CLIA Number18D2100797

Laboratory TypePhysician Office

Certificate Effective DateAugust 24, 2025

Certificate Expiration DateAugust 23, 2027

Laboratory DirectorCarol B. Peddicord MD

Laboratory Phone(606) 387-0323

Laboratory LocationCarol B Peddicord, MD PLLC250 Burkesville R0ad, Albany, KY 42602

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MRS. APRIL NICOLE SPECK L.P.C.C.

Counselor (Professional)