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ARH PENNINGTON GAP CLINIC
NPI 1063821288
Family Medicine in Pennington Gap, VA

Active since August 13, 2014CLIA 49D2100075 · Waiver
121 STACY DRIVE, PENNINGTON GAP, VA 24277(276) 546-1182(606) 439-6987 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, May 17, 2021, Feb 27, 2017 (3 updates tracked since 2017).

About Arh Pennington Gap Clinic NPPES

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

ARH PENNINGTON GAP CLINIC (NPI 1063821288) is a healthcare organization registered as a family medicine in Pennington Gap, Virginia and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Hollie Harris, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1063821288
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAPPALACHIAN REGIONAL HEALTHCARE, INC.
Location Address121 STACY DRIVEPennington Gap, VA 24277
Mailing Address121 Stacy DrivePennington Gap, VA 24277 · (276) 546-1182 · Fax (606) 439-6987
Phone(276) 546-1182
Fax(606) 439-6987
Organization SubpartNo
Authorized OfficialHollie HarrisPresident And Ceo · (859) 226-2511
Enumeration DateAugust 13, 2014
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1063821288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
121 STACY DRIVE, Pennington Gap, VA 24277
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Other Names 1

Doing Business AsArh Pennington Gap Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arh Pennington Gap Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Arh Pennington Gap Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Dusta Boggs, APRN, BC
Nurse Practitioner
NPI 1558301572
121 STACY DR
Pennington Gap, VA 24277
(276) 546-1182
✔ PECOS✔ Accepts MedicareSame address
Jose Echeverria, MD
Internal Medicine
NPI 1215929575
37 BALL PARK RD
Harlan, KY 40831
(606) 573-4520
✔ PECOS✔ Accepts Medicare16 mi
Haley Overbay, NP
Nurse Practitioner
NPI 1659033215
37 BALL PARK RD
Harlan, KY 40831
(606) 573-4520
✔ PECOS✔ Accepts Medicare16 mi
Mary Ward, N.P.
Nurse Practitioner
NPI 1588183156
37 BALL PARK RD
Harlan, KY 40831
(800) 962-3303
✔ PECOS✔ Accepts Medicare16 mi
Ashley Wilson, NURSE PRACTITIONER
Nurse Practitioner
NPI 1356781900
200 NETTLETON RD STE 1
Harrogate, TN 37752
(423) 419-5550
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49D2100075

Arh Pennington Gap Clinic · Pennington Gap, VA
Active · expires Aug 6, 2027
CLIA Number49D2100075
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorJose Echeverria
Laboratory Phone(276) 546-1182
Laboratory LocationArh Pennington Gap Clinic121 Stacy Drive, Pennington Gap, VA 24277
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Appalachian Regional Healthcare, Inc.'s NPI number?

The NPI number for Appalachian Regional Healthcare, Inc. is 1063821288. It was assigned to this organization in the NPPES registry on August 13, 2014. The provider is doing business as Arh Pennington Gap Clinic.

Where is Appalachian Regional Healthcare, Inc. located?

Appalachian Regional Healthcare, Inc. is located at 121 Stacy Drive, Pennington Gap, VA 24277. The listed phone number is (276) 546-1182.

What is Appalachian Regional Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Appalachian Regional Healthcare, Inc. enrolled in Medicare?

Yes. Appalachian Regional Healthcare, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Appalachian Regional Healthcare, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Appalachian Regional Healthcare, Inc.. 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 (4) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Appalachian Regional Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2100075) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Appalachian Regional Healthcare, Inc. was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.