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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTHERN KENTUCKY VASCULAR CLINIC PLLC
NPI 1013813336
Physician Assistant in Somerset, KY

Active since October 14, 2026CLIA Certified · 3 labs
50 MEDPARK DR STE 3, SOMERSET, KY 42503(606) 531-4100 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern Kentucky Vascular Clinic Pllc NPPES

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

SOUTHERN KENTUCKY VASCULAR CLINIC PLLC (NPI 1013813336) is a healthcare organization registered as a physician assistant in Somerset, Kentucky and active in the NPI registry since October 2026. The organization holds 3 active CLIA laboratory certificates and lists Tera Hooker, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1013813336
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSOUTHERN KENTUCKY VASCULAR CLINIC PLLC
Location Address50 MEDPARK DR STE 3Somerset, KY 42503-4730
Mailing Address50 Medpark Dr Ste 3Somerset, KY 42503-4730 · (606) 531-4100
Phone(606) 531-4100
Organization SubpartNo
Authorized OfficialTera HookerCredentialing · (810) 955-3955
Enumeration DateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1013813336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
50 MEDPARK DR STE 3, Somerset, KY 42503
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CLIA Laboratory Certificates CMS CLIA 3

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 of Waiver 18D2311482

Southern Kentucky Vascular ASC · Somerset, KY
Active · expires Sep 22, 2028
CLIA Number18D2311482
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2026
Certificate Expiration DateSeptember 22, 2028
Laboratory DirectorDr. Donald W. Brown
Laboratory Phone(606) 531-4100
Laboratory LocationSouthern Kentucky Vascular ASC50 Medpark Square Drive, Suite 2, Somerset, KY 42503
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2350297

Southern Kentucky Vascular Procedure Center · London, KY
Active · expires Sep 7, 2028
CLIA Number18D2350297
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorDr. Donald W. Brown
Laboratory Phone(606) 531-4100
Laboratory LocationSouthern Kentucky Vascular Procedure Center2645 N Laurel Rd, Suite B, London, KY 40741
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2296425

Southern Kentucky Vascular Procedure Center · Somerset, KY
Active · expires Dec 27, 2027
CLIA Number18D2296425
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorDr. Donald W. Brown
Laboratory Phone(606) 531-4100
Laboratory LocationSouthern Kentucky Vascular Procedure Center50 Medpark Square Dr, Suite 2, Somerset, KY 42503
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SHANNON DANIELLE ROBINSON
Nurse Practitioner (Family)
50 MEDPARK DR STE 3
SOMERSET, KY 42503
Pulaski County (606) 531-4100
DONALD WAYNE BROWN D.O.
Surgery (Vascular Surgery)
50 MEDPARK DR STE 3
SOMERSET, KY 42503
Pulaski County (606) 531-4100

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 Southern Kentucky Vascular Clinic PLLC's NPI number?

The NPI number for Southern Kentucky Vascular Clinic PLLC is 1013813336. It was assigned to this organization in the NPPES registry on October 14, 2026.

Where is Southern Kentucky Vascular Clinic PLLC located?

Southern Kentucky Vascular Clinic PLLC is located at 50 Medpark Dr Ste 3, Somerset, KY 42503. The listed phone number is (606) 531-4100.

What is Southern Kentucky Vascular Clinic PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Southern Kentucky Vascular Clinic PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southern Kentucky Vascular Clinic PLLC was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.