CAROL B PEDDICORD MD PLLC
NPI 1760874713
Family Medicine in Albany, KY
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
Specialties & Licenses
Group Practice 1
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)
Carol B Peddicord Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Carol B Peddicord MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 of Waiver 18D2100797
Carol B Peddicord, MD PLLC · Albany, KYFrequently 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 Carol B Peddicord MD PLLC's NPI number?
The NPI number for Carol B Peddicord MD PLLC is 1760874713. It was assigned to this organization in the NPPES registry on February 28, 2015.
Where is Carol B Peddicord MD PLLC located?
Carol B Peddicord MD PLLC is located at 250 Burkesville Rd, Albany, KY 42602. The listed phone number is (606) 387-0323.
What is Carol B Peddicord MD PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carol B Peddicord MD PLLC enrolled in Medicare?
Yes. Carol B Peddicord MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carol B Peddicord MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carol B Peddicord MD PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carol B Peddicord MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2100797) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carol B Peddicord MD PLLC accept?
Health plans from CareSource list Carol B Peddicord MD PLLC 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 Carol B Peddicord MD PLLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carol B Peddicord Md Pllc · NPI 1760874713
Family Medicine organization in Albany, Kentucky. Organization record, active in the CMS NPPES registry since February 28, 2015.
## Identity
- **NPI:** 1760874713 (Entity type: Organization)
- **Enumerated:** February 28, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Carol Peddicord, OWNER
## Practice location
- **Address:** 250 BURKESVILLE RD, Albany, KY 42602-1604
- **Phone:** (606) 387-0323 · **Fax:** (606) 387-0310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760874713) · Data from the CMS NPPES public registry.