CLARK REGIONAL FAMILY PRACTICE
NPI 1114360583
Family Medicine in Winchester, KY
About Clark Regional Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK REGIONAL FAMILY PRACTICE (NPI 1114360583) is a healthcare organization registered as a family medicine in Winchester, Kentucky and active in the NPI registry since April 2013. The organization lists Sara Miller, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Regional Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
87Medicare enrollment records show 87 clinicians reassign Medicare billing to Clark Regional Family Practice, which bills Medicare for the services they deliver. Of these, 32 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 87Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clark Regional Physician Practices LLC's NPI number?
The NPI number for Clark Regional Physician Practices LLC is 1114360583. It was assigned to this organization in the NPPES registry on April 16, 2013. The provider is doing business as Clark Regional Family Practice.
Where is Clark Regional Physician Practices LLC located?
Clark Regional Physician Practices LLC is located at 120 Professional Ave, Winchester, KY 40391. The listed phone number is (859) 744-2485.
What is Clark Regional Physician Practices LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clark Regional Physician Practices LLC enrolled in Medicare?
Yes. Clark Regional Physician Practices LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Regional Physician Practices LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 87 clinicians in 22 Medicare specialties reassign their Medicare billing to Clark Regional Physician Practices 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. The largest specialties are Nurse Practitioner (28), Internal Medicine (10) and Family Practice (8). Of these, 32 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clark Regional Physician Practices LLC was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Clark Regional Family Practice · NPI 1114360583
Family Medicine organization in Winchester, Kentucky. Organization record, active in the CMS NPPES registry since April 16, 2013.
## Identity
- **NPI:** 1114360583 (Entity type: Organization)
- **Enumerated:** April 16, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Clark Regional Physician Practices Llc
- **Organization subpart:** No
- **Authorized official:** Sara Miller, DIRECTOR
## Practice location
- **Address:** 120 PROFESSIONAL AVE, Winchester, KY 40391-1116
- **Phone:** (859) 744-2485 · **Fax:** (859) 744-0062
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 87 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Internal Medicine (10), Family Practice (8); 32 practice within 10 miles; [full list](https://npiprofile.com/npi/1114360583/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1114360583) · Data from the CMS NPPES public registry.