1. Home
  2. Directory
  3. Kentucky
  4. Mayfield
  5. Internal Medicine
  6. NPI Profile

JACKSON PURCHASE PULMONARY MEDICINE PLLC
NPI 1922262179
Internal Medicine - Pulmonary Disease in Mayfield, KY

Active since July 16, 2008
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066(270) 650-7163(855) 430-0335 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2020, Jan 9, 2020, Apr 18, 2017 (3 updates tracked since 2017).

About Jackson Purchase Pulmonary Medicine Pllc NPPES

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

JACKSON PURCHASE PULMONARY MEDICINE PLLC (NPI 1922262179) is a healthcare organization registered as a pulmonary disease in Mayfield, Kentucky and active in the NPI registry since July 2008. The organization lists Roberto Dos Remedios, Owner, as its authorized official.

NPPES Registry Identity

NPI1922262179
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJACKSON PURCHASE PULMONARY MEDICINE PLLC
Location Address1111 MEDICAL CENTER CIRMayfield, KY 42066-1194
Mailing Address1111 Medical Center CirMayfield, KY 42066-1194 · (270) 251-4040 · Fax (855) 430-0335
Phone(270) 650-7163
Fax(855) 430-0335
Organization SubpartNo
Authorized OfficialRoberto Dos RemediosOwner · (270) 933-7823
Enumeration DateJuly 16, 2008
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1922262179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 40940
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3010022 (KY)
1111 MEDICAL CENTER CIR, Mayfield, KY 42066
Open in Google Maps ↗

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 Health, Ambetter of Tennessee and more.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)

Jackson Purchase Pulmonary Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jackson Purchase Pulmonary Medicine 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)

Jennifer Carrico, APRN
Nurse Practitioner
NPI 1114383981
1111 MEDICAL CENTER CIR
Mayfield, KY 42066
(270) 251-4040
✔ PECOS✔ Accepts MedicareSame address
Roberto Dos Remedios, MD
Pulmonary Disease
NPI 1497872899
1111 MEDICAL CENTER CIR
Mayfield, KY 42066
(270) 251-4040
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Jackson Purchase Pulmonary Medicine PLLC's NPI number?

The NPI number for Jackson Purchase Pulmonary Medicine PLLC is 1922262179. It was assigned to this organization in the NPPES registry on July 16, 2008.

Where is Jackson Purchase Pulmonary Medicine PLLC located?

Jackson Purchase Pulmonary Medicine PLLC is located at 1111 Medical Center Cir, Mayfield, KY 42066. The listed phone number is (270) 650-7163.

What is Jackson Purchase Pulmonary Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jackson Purchase Pulmonary Medicine PLLC enrolled in Medicare?

Yes. Jackson Purchase Pulmonary Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Purchase Pulmonary Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jackson Purchase Pulmonary Medicine PLLC, in Nurse Practitioner and Pulmonary Disease. 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.

What insurance does Jackson Purchase Pulmonary Medicine PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jackson Purchase Pulmonary Medicine 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 Jackson Purchase Pulmonary Medicine PLLC was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.