Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breathitt Emergency Group, LLC

Organization Emergency Medicine Physician · NPI 1841825767

Breathitt Emergency Group, LLC is an Emergency Medicine Physician in Jackson, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

540 Jett Dr
Jackson, KY 41339-9622
Phone: (606) 666-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1841825767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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