Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jamie D Mudd , MD

Pediatrics β€’ Edgewood, KY

Active NPI 1639672579 Individual Practitioner Female Practitioner
Practice location in NPPES

20 Medical Village Dr., Suite 102
Edgewood, KY 410175402

Call 8593411011 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20 Medical Village Dr.
Suite 102

Edgewood, KY 410175402

Telephone 8593411011
Fax 8593417198
Organization at the Same NPPES Address or Phone
Pediatric Care Of Kentucky Psc Facility NPI 1598739849

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Louisville, KY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Open Payments general payments, program year 2025

All general payments: $227.83 across 13 records.

By nature of payment

  • Food and Beverage: $227.83 across 13 records.

Reporting-company totals (3 largest of 6)

  • Neos Therapeutics, LP: $86.67 across 5 records.
  • Noven Therapeutics, LLC: $45.80 across 2 records.
  • Supernus Pharmaceuticals, Inc.: $32.10 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edgewood and Kentucky

12 active clinicians are listed under Pediatrics with a practice address in Edgewood, KY (874 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edgewood

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 13 records totaling $227.83.

Manufacturer Payment Nature Product Type Amount ($)
Noven Therapeutics, LLC
Food and Beverage
In-kind items and services
Xelstrym General $23.48
Noven Therapeutics, LLC
Food and Beverage
In-kind items and services
Xelstrym General $22.32
Neos Therapeutics, LP
Food and Beverage
Cash or cash equivalent
Adzenys XR-ODT General $19.75
Neos Therapeutics, LP
Food and Beverage
Cash or cash equivalent
Adzenys XR-ODT General $19.59
Tris Pharma Inc
Food and Beverage
In-kind items and services
Dyanavel XR General $17.88
Neos Therapeutics, LP
Food and Beverage
Cash or cash equivalent
Adzenys XR-ODT General $17.57
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $16.35
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $16.04
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $15.75
Neos Therapeutics, LP
Food and Beverage
Cash or cash equivalent
Adzenys XR-ODT General $15.65
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $15.47
Neos Therapeutics, LP
Food and Beverage
Cash or cash equivalent
Adzenys XR-ODT General $14.11
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $13.87

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES KY 57756

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

500 S Preston St Rm 305

Louisville, KY 402021702

Phone: 5028528696

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1417920554

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location July 17, 2023

Registered at 20 MEDICAL VILLAGE DR., SUITE 102, EDGEWOOD, KY 410175402 (Tel: 8593411011)

πŸ“
Updated Business Mailing Address July 17, 2023

Registered at 20 MEDICAL VILLAGE DR., SUITE 102, EDGEWOOD, KY 410175402 (Tel: 8593411011)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Pediatrics (license number reported to NPPES: KY 57756)

πŸ‘€
Provider Name / Credentials Updated August 01, 2022

Recorded as JAMIE MUDD, MD

πŸ“
Updated Practice Location March 26, 2020

Registered at 3333 BURNET AVE # MLC5018, CINCINNATI, OH 452293026 (Tel: 5136364315)

πŸ“
Updated Business Mailing Address March 26, 2020

Registered at 3333 BURNET AVE # MLC5018, CINCINNATI, OH 452293026 (Tel: 5136364315)

πŸ‘€
Provider Name / Credentials Updated March 26, 2020

Recorded as JAMIE DOCTROW, MD

βœ…
NPI Profile Active March 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 16, 2018

Registered at 500 S PRESTON ST RM 305, LOUISVILLE, KY 402021702 (Tel: 5028528696)

πŸ“
Business Mailing Address (Initial Record) March 16, 2018

Registered at 500 S PRESTON ST RM 305, LOUISVILLE, KY 402021702 (Tel: 5028528696)

πŸ‘€
Provider Name / Credentials (Initial Record) March 16, 2018

Recorded as JAMIE DOCTROW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 16, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1639672579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2018
Last Update: July 17, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Edgewood

Healthcare providers in Edgewood

Mailing Address

20 Medical Village Dr., Suite 102

Edgewood, KY 410175402

Phone: 8593411011

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.