JACKSON PURCHASE PULMONARY MEDICINE PLLC
NPI 1992254288
Nurse Practitioner - Family in Mayfield, KY

NPI Status: Active since September 27, 2016

Contact Information

1111 MEDICAL CENTER CIR
MAYFIELD, KY
ZIP 42066
Phone: (270) 251-4040
Fax: (855) 430-0335

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 18D0325595
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About JACKSON PURCHASE PULMONARY MEDICINE PLLC

This page provides the complete NPI Profile along with additional information for Jackson Purchase Pulmonary Medicine Pllc, a provider established in Mayfield, Kentucky operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1992254288 assigned on September 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 3010022 (KY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Tammy D Mccary (Office Manager)

NPI
1992254288
Provider Name
JACKSON PURCHASE PULMONARY MEDICINE PLLC
Entity Type
Organization
Location Address
1111 MEDICAL CENTER CIR MAYFIELD, KY 42066
Location Phone
(270) 251-4040
Location Fax
(855) 430-0335
Mailing Address
1111 MEDICAL CENTER CIR MAYFIELD, KY 42066
Mailing Phone
(270) 251-4040
Mailing Fax
(855) 430-0335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2016
Last Update Date
09-27-2016
Code Navigator

A nurse practitioner (NP) like Jackson Purchase Pulmonary Medicine Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3010022
License State
KY

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TAMMY D MCCARY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(270) 251-4040

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100399120MEDICAID (05)KY 
K173240MEDICARE OSCAR/CERTIFICATION (06)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0325595
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. ALEXANDER SMITH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Jackson Purchase Pulmonary Medicine Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992254288, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 4 + 5 + 8 + 2 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1992254288.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Family Medicine
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Internal Medicine
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Clinic/Center (Multi-Specialty)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Physical Therapist
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Pharmacist
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Surgery
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Orthopaedic Surgery
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Family Medicine
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Family Medicine
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Family Medicine (Sports Medicine)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992254288, enumerated as an "organization" on September 27, 2016.

The provider is located at 1111 MEDICAL CENTER CIR MAYFIELD, KY 42066 and the phone number is (270) 251-4040.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.