LOGAN PRIMARY CARE - RUSSELLVILLE
NPI 1013408053
Internal Medicine in Russellville, KY
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
Specialties & Licenses 6
Other Names 1
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)
Logan Primary Care - Russellville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Logan Primary Care - Russellville, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 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.
Where is Logan Physician Practice LLC located?
Logan Physician Practice LLC is located at 975 Hopkinsville Rd, Russellville, KY 42276. The listed phone number is (270) 726-2738.
What is Logan Physician Practice LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Logan Physician Practice LLC enrolled in Medicare?
Yes. Logan Physician Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Logan Physician Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Logan Physician Practice LLC. 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. The largest specialties are Nurse Practitioner (10), Family Practice (1) and General Surgery (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Logan Physician Practice LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Logan Physician Practice LLC 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 Logan Physician Practice LLC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Logan Primary Care - Russellville · NPI 1013408053
Internal Medicine organization in Russellville, Kentucky. Organization record, active in the CMS NPPES registry since May 25, 2018.
## Identity
- **NPI:** 1013408053 (Entity type: Organization)
- **Enumerated:** May 25, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Logan Physician Practice Llc
- **Organization subpart:** No
- **Authorized official:** Kathy Teague, VP, CORPORATE SECRETARY
## Practice location
- **Address:** 975 HOPKINSVILLE RD, Russellville, KY 42276-9774
- **Phone:** (270) 726-2738 · **Fax:** (270) 726-9508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (1), General Surgery (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013408053) · Data from the CMS NPPES public registry.