LOGAN PRIMARY CARE - RUSSELLVILLE
NPI 1013408053
Internal Medicine in Russellville, KY

Q: What is Logan Physician Practice LLC's NPI number?

The NPI number for Logan Physician Practice LLC is 1013408053. It was assigned to this organization in the NPPES registry on May 25, 2018. The provider is doing business as Logan Primary Care - Russellville.

Q: What is Logan Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 25, 2018

975 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276(270) 726-2738(270) 726-9508 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2023, Mar 1, 2019, May 25, 2018 (3 updates tracked since 2018).

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About Logan Primary Care - Russellville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN PRIMARY CARE - RUSSELLVILLE (NPI 1013408053) is a healthcare organization registered as an internal medicine in Russellville, Kentucky and active in the NPI registry since May 2018. The organization lists Kathy Teague, Vp, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1013408053

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLOGAN PHYSICIAN PRACTICE LLC

Location Address975 HOPKINSVILLE RDRussellville, KY 42276-9774

Mailing Address113 Seaboard Ln Ste 201bFranklin, TN 37067-8284 · (629) 253-5121

Phone(270) 726-2738

Fax(270) 726-9508

Organization SubpartNo

Authorized OfficialKathy TeagueVp, Corporate Secretary · (629) 253-5121

Enumeration DateMay 25, 2018

Last NPPES UpdateApril 13, 20233 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1013408053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

975 HOPKINSVILLE RD, Russellville, KY 42276

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Other Names 1

Doing Business AsLogan Primary Care - Russellville

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT PHYSICIAN HEALTH SERVICES

Internal Medicine