NPI 1386904647 · live from the CMS NPI Registry
Community Medical Associates, INC.
Family Medicine, Sports Medicine in Louisville, KY. National Provider Identifier 1386904647, active.
NPI record
| NPI | 1386904647 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Sports Medicine 207QS0010X |
| Practice location | 1951 Bishop Ln Fl 4, Louisville, KY 40218 |
| Practice phone | 502-588-9490 |
| Mailing address | Po Box 776351, Chicago, IL 60677 |
| Enumerated | May 21, 2012 |
| Last updated | January 16, 2026 |
| Authorized official | Shelley Gast, Vp- Managed Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Genetic Counselor, MS | 170300000X | — (KY) |
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Physical Therapist, Orthopedic | 2251X0800X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — (KY) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Pediatrics, Sports Medicine | 2080S0010X | — (KY) |
| Preventive Medicine, Addiction Medicine | 2083A0300X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Family Medicine, Sports Medicine primary | 207QS0010X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.