BREATHITT EMERGENCY GROUP, LLC — NPI 1841825767 (Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) in JACKSON, KY)

CMS-1500 Box 24J / 33a • NPI

1841825767

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207P00000X (CMS 93)

Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)

Box 32 Service Location & ZIP+4

540 JETT DR, JACKSON, KY, 41339-9622

✓ 9-Digit EDI 837 ZIP+4 (41339-9622)

Practice Phone & Referral Fax

(606) 666-6000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1841825767 (BREATHITT EMERGENCY GROUP, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1841825767` (NPI-2 Organization / Facility)
Provider / Legal Name	BREATHITT EMERGENCY GROUP, LLC
Plain-English Specialty	Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: `207P00000X` (Emergency Medicine)
Certifying / Licensing Body	American Board of Emergency Medicine (ABEM)
Practice Location Address	540 JETT DR, JACKSON, KY, 41339-9622
Practice Telephone / Fax	Tel: (606) 666-6000
Administrative Mailing Address	200 CORPORATE BLVD, LAFAYETTE, LA, 70508-3870
Enumeration & Last Sync	Enumerated: 2020-03-11 \| CMS Record Updated: 2022-03-23
Authorized Official	LISHA FALK (VP of Contracting)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

540 JETT DR, JACKSON, KY, 41339-9622

🗺️ Open in Google Maps 🏥 More Providers in JACKSON

🔒 Are you BREATHITT EMERGENCY GROUP, LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207P00000X)

What Does Taxonomy Code 207P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 93 (Physician/Emergency Medicine)
Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
Clinical Scope: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BREATHITT EMERGENCY GROUP, LLC)

Typical CPT / Diagnostic Procedures:

Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting

Common Therapeutic Classes:

Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: N/A \| License: `Verified` \| Primary: Secondary
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

BREATHITT EMERGENCY GROUP, LLC (NPI #1841825767)