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

Active since September 27, 2016
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066(270) 251-4040(855) 430-0335 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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 1992254288) is a healthcare organization registered as a family in Mayfield, Kentucky and active in the NPI registry since September 2016. The organization lists Tammy D Mccary, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992254288
Entity TypeOrganization
Primary Taxonomy363LF0000X
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) 251-4040
Fax(855) 430-0335
Organization SubpartNo
Authorized OfficialTammy D MccaryOffice Manager · (270) 251-4040
Enumeration DateSeptember 27, 2016
✔ NPI 1992254288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3010022
1111 MEDICAL CENTER CIR, Mayfield, KY 42066
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Other Identifiers 2

Medicaid7100399120KY
Medicare OSCAR/certificationK173240KY

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

Other Providers at the Same Location NPPES 20

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

MRS. CHRISTY MARIE BAKER PHARM.D., MBA
Pharmacist
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 247-7000
WYNSTRA WOMENS HEALTHCARE, PSC
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4545
ALAN L CHRISTENSEN MD PSC
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543
MRS. JENNIFER L CARRICO APRN
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4040
CAITLIN ODOM PA-C
Physician Assistant
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4527
DR. JONATHAN WYNSTRA M.D.
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543
PINELAKE PHYSICIAN PRACTICE LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4080
PINELAKE PHYSICIAN PRACTICE, LLC
Clinic/Center (Rural Health)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543

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 1992254288. It was assigned to this organization in the NPPES registry on September 27, 2016.

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) 251-4040.

What is Jackson Purchase Pulmonary Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jackson Purchase Pulmonary Medicine PLLC was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.