OrganizationActive
Baptist Health Medical Group Inc
NPI 1255805586 · Nurse Practitioner · Nicholasville, KY
Provider details
- NPI number
- 1255805586
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Baptist Health Medical Group Inc
- Organization subpart
- Yes
- Authorized official
- Danyel Clay, Vice President Revenue Cycle(502) 253-4911
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Providence Way Ste 200
Nicholasville, KY 40356-6033
Phone: (859) 260-5370
Fax: (859) 260-5379
Approximate (ZIP-level) locationGet directions
Mailing address
1901 Campus Pl
Louisville, KY 40299-2308
Other names (DBA / former)
- Other name
- Brannon Crossing Family Medicine
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.