MOUNTAIN FAMILY MEDICINE, LLC
NPI 1073079273
Family Medicine in Pikeville, KY
About Mountain Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN FAMILY MEDICINE, LLC (NPI 1073079273) is a healthcare organization registered as a family medicine in Pikeville, Kentucky and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Brian Daniels, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Family Medicine, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 18D0325010
Mountain Family Medicine, LLC · Pikeville, KYFrequently 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 Mountain Family Medicine, LLC's NPI number?
The NPI number for Mountain Family Medicine, LLC is 1073079273. It was assigned to this organization in the NPPES registry on February 13, 2019.
Where is Mountain Family Medicine, LLC located?
Mountain Family Medicine, LLC is located at 5425 N Mayo Trl Ste 201, Pikeville, KY 41501. The listed phone number is (606) 432-0191.
What is Mountain Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mountain Family Medicine, LLC enrolled in Medicare?
Yes. Mountain Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mountain Family Medicine, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mountain Family Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0325010) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mountain Family Medicine, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Mountain Family Medicine, LLC 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 Mountain Family Medicine, LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mountain Family Medicine, Llc · NPI 1073079273
Family Medicine organization in Pikeville, Kentucky. Organization record, active in the CMS NPPES registry since February 13, 2019.
## Identity
- **NPI:** 1073079273 (Entity type: Organization)
- **Enumerated:** February 13, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brian Daniels, OWNER/PHYSICIAN
## Practice location
- **Address:** 5425 N MAYO TRL STE 201, Pikeville, KY 41501-2965
- **Phone:** (606) 432-0191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073079273) · Data from the CMS NPPES public registry.