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ADVANCED FAMILY MEDICAL CLINIC LIBERTY
NPI 1023545241
Clinic/Center - Rural Health in Liberty, KY

Active since May 18, 2017CLIA 18D2169807 · Waiver
84 HUSTONVILLE ST, LIBERTY, KY 42539(606) 706-7473(606) 303-9170 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Feb 27, 2020, Mar 8, 2018 and 4 more (7 updates tracked since 2017).

About Advanced Family Medical Clinic Liberty NPPES

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

ADVANCED FAMILY MEDICAL CLINIC LIBERTY (NPI 1023545241) is a healthcare organization registered as a rural health in Liberty, Kentucky and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Khursheed Akram Siddiqui, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023545241
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameADVANCED FAMILY MEDICAL CLINIC LIBERTY
Location Address84 HUSTONVILLE STLiberty, KY 42539-3469
Mailing AddressPo Box 2369Danville, KY 40423-2369 · (606) 303-9011 · Fax (606) 303-9170
Phone(606) 706-7473
Fax(606) 303-9170
Organization SubpartNo
Authorized OfficialKhursheed Akram SiddiquiMedical Director · (859) 691-0201
Enumeration DateMay 18, 2017
Last NPPES UpdateJanuary 16, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1023545241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 28741 (KY)
84 HUSTONVILLE ST, Liberty, KY 42539
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100503210KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 of Waiver 18D2169807

Advanced Family Medical Clinic Of Liberty · Liberty, KY
Active · expires Jul 28, 2027
CLIA Number18D2169807
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. Khursheed Siddiqui
Laboratory Phone(606) 303-9011
Laboratory LocationAdvanced Family Medical Clinic Of Liberty84 Hustonville St, Liberty, KY 42539
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

PAMELA RENA ROBBINS APRN
Nurse Practitioner (Family)
84 HUSTONVILLE ST
LIBERTY, KY 42539
Casey County (606) 706-7473
JOHN ROGERS PRICE M.D.
Family Medicine
84 HUSTONVILLE ST
LIBERTY, KY 42539
Casey County (606) 303-9011
MRS. ROBIN LEANN ATWOOD APRN, NP-C
Nurse Practitioner
84 HUSTONVILLE ST
LIBERTY, KY 42539
Casey County (606) 706-7473

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 Advanced Family Medical Clinic Liberty's NPI number?

The NPI number for Advanced Family Medical Clinic Liberty is 1023545241. It was assigned to this organization in the NPPES registry on May 18, 2017.

Where is Advanced Family Medical Clinic Liberty located?

Advanced Family Medical Clinic Liberty is located at 84 Hustonville St, Liberty, KY 42539. The listed phone number is (606) 706-7473.

What is Advanced Family Medical Clinic Liberty's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Advanced Family Medical Clinic Liberty hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2169807) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Family Medical Clinic Liberty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Advanced Family Medical Clinic Liberty 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 Advanced Family Medical Clinic Liberty was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.