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SOUTHEAST FAMILY PRACTICE PSC
NPI 1033600416
Clinic/Center - Rural Health in Pineville, KY

Active since May 22, 2018CLIA 18D2150286 · Waiver
222 W TENNESSEE AVE, PINEVILLE, KY 40977(606) 499-5135 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Nov 6, 2023, Jul 10, 2019 and 2 more (5 updates tracked since 2018).

About Southeast Family Practice Psc NPPES

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

SOUTHEAST FAMILY PRACTICE PSC (NPI 1033600416) is a healthcare organization registered as a rural health in Pineville, Kentucky and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Trampas S Nolan, Aprn / Owner, as its authorized official.

NPPES Registry Identity

NPI1033600416
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST FAMILY PRACTICE PSC
Location Address222 W TENNESSEE AVEPineville, KY 40977-1737
Mailing Address222 W Tennessee AvePineville, KY 40977-1737 · (606) 499-5135 · Fax (606) 654-6220
Phone(606) 499-5135
Organization SubpartNo
Authorized OfficialTrampas S NolanAprn / Owner · (606) 654-6210
Enumeration DateMay 22, 2018
Last NPPES UpdateDecember 8, 20235 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1033600416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
222 W TENNESSEE AVE, Pineville, KY 40977
Open in Google Maps ↗

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 18D2150286

Southeast Family Practice · Pineville, KY
Active · expires Jun 20, 2028
CLIA Number18D2150286
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorMr. Trampas S. Nolan
Laboratory Phone(606) 499-5135
Laboratory LocationSoutheast Family Practice222 W Tennessee Avenue, Pineville, KY 40977
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MR. TRAMPAS S NOLAN ARNP
Nurse Practitioner (Family)
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Bell County (606) 654-6210
THOMAS EDWARD BUSIC PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Bell County (606) 654-6210
STEVEN K. MORGAN, M.D PSC
Internal Medicine
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Bell County (606) 337-3123
JENNIE KATELYN NOLAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Bell County (606) 654-6210

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 Southeast Family Practice Psc's NPI number?

The NPI number for Southeast Family Practice Psc is 1033600416. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Southeast Family Practice Psc located?

Southeast Family Practice Psc is located at 222 W Tennessee Ave, Pineville, KY 40977. The listed phone number is (606) 499-5135.

What is Southeast Family Practice Psc's specialty?

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

Does Southeast Family Practice Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2150286) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeast Family Practice Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Southeast Family Practice Psc 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 Southeast Family Practice Psc was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.