SOUTH CENTRAL FAMILY PRACTICE CLINIC PC
NPI 1003967753
Family Medicine in Soldotna, AK
About South Central Family Practice Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH CENTRAL FAMILY PRACTICE CLINIC PC (NPI 1003967753) is a healthcare organization registered as a family medicine in Soldotna, Alaska and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Gladys J Bailon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Central Family Practice Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Central Family Practice Clinic PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D1015482
South Central Family Practice Clinic · Soldotna, AKFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Central Family Practice Clinic PC's NPI number?
The NPI number for South Central Family Practice Clinic PC is 1003967753. It was assigned to this organization in the NPPES registry on January 16, 2007.
Where is South Central Family Practice Clinic PC located?
South Central Family Practice Clinic PC is located at 161 N Binkley St Suite 101, Soldotna, AK 99669. The listed phone number is (907) 260-7784.
What is South Central Family Practice Clinic PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is South Central Family Practice Clinic PC enrolled in Medicare?
Yes. South Central Family Practice Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Central Family Practice Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to South Central Family Practice Clinic PC, in Family Practice and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Central Family Practice Clinic PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D1015482) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Central Family Practice Clinic PC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list South Central Family Practice Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Central Family Practice Clinic PC was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South Central Family Practice Clinic Pc · NPI 1003967753
Family Medicine organization in Soldotna, Alaska. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1003967753 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Gladys Bailon, PRESIDENT
## Practice location
- **Address:** 161 N BINKLEY ST, SUITE 101, Soldotna, AK 99669
- **Phone:** (907) 260-7784 · **Fax:** (907) 260-7738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2018
- **Other identifiers:** Other GJ520 (AK); Other 610985200 (AK); Other 610985200 (AK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003967753) · Data from the CMS NPPES public registry.