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APPALACHIAN PRIMARY CARE LLC
NPI 1063992733
Nurse Practitioner - Primary Care in Prestonsburg, KY

Active since August 21, 2018
92 PICKETT LN, PRESTONSBURG, KY 41653(606) 874-0112(606) 874-0115 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Appalachian Primary Care Llc NPPES

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

APPALACHIAN PRIMARY CARE LLC (NPI 1063992733) is a healthcare organization registered as a primary care in Prestonsburg, Kentucky and active in the NPI registry since August 2018. The organization lists Mohammed Akhlack Hossain Mazumder, President, as its authorized official.

NPPES Registry Identity

NPI1063992733
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameAPPALACHIAN PRIMARY CARE LLC
Location Address92 PICKETT LNPrestonsburg, KY 41653-8569
Mailing Address92 Pickett LnPrestonsburg, KY 41653-8569 · (606) 874-0112 · Fax (606) 874-0115
Phone(606) 874-0112
Fax(606) 874-0115
Organization SubpartNo
Authorized OfficialMohammed Akhlack Hossain MazumderPresident · (606) 874-0112
Enumeration DateAugust 21, 2018
✔ NPI 1063992733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
92 PICKETT LN, Prestonsburg, KY 41653
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MOHAMMED AKHLACK HOSSAIN MAZUMDER M.D.
Family Medicine
92 PICKETT LN
PRESTONSBURG, KY 41653
Floyd County (606) 874-0112
CARING PROFESSIONALS
Clinic/Center (Primary Care)
92 PICKETT LN
PRESTONSBURG, KY 41653
Floyd County (606) 889-0378
APPALACHIAN PRIMARY CARE LLC
Family Medicine
92 PICKETT LN
PRESTONSBURG, KY 41653
Floyd County (606) 874-0112
MRS. VIRGINIA A SHEPHERD-TACKETT NP-C
Nurse Practitioner (Family)
92 PICKETT LN
PRESTONSBURG, KY 41653
Floyd County (606) 874-0112

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 Primary Care LLC's NPI number?

The NPI number for Appalachian Primary Care LLC is 1063992733. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Appalachian Primary Care LLC located?

Appalachian Primary Care LLC is located at 92 Pickett Ln, Prestonsburg, KY 41653. The listed phone number is (606) 874-0112.

What is Appalachian Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Appalachian Primary Care LLC was last updated on August 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.