MR. CORY GEARLDS APRN NPI 1275992018

NPI Information

NPI: 1275992018
Provider Name: MR. CORY GEARLDS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: T J SAMSON COMMUNITY HOSPITAL

PECOS Registration: Yes

Address:
5796 NASHVILLE RD
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 495-3882
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MR. Cory Gearlds, APRN is a family nurse practitioner in Bowling Green, KY with 9 years of experience. MR. Cory Gearlds, APRN NPI is 1275992018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5796 NASHVILLE RD
BOWLING GREEN, KY
ZIP 42101-546
Phone: (270) 495-3882

The NPI 1275992018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3010138	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3010138	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100390820	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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