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THACKER FAMILY MEDICAL LLC
NPI 1134898364
Clinic/Center - Rural Health in Pikeville, KY

Active since September 10, 2021CLIA 18D2066377 · Waiver
140 ADAMS LN STE 600-700, PIKEVILLE, KY 41501(606) 509-2000(606) 509-2002 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 24, 2022, Sep 10, 2021 (2 updates tracked since 2021).

About Thacker Family Medical Llc NPPES

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

THACKER FAMILY MEDICAL LLC (NPI 1134898364) is a healthcare organization registered as a rural health in Pikeville, Kentucky and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Chadward L. Thacker, Owner, as its authorized official.

NPPES Registry Identity

NPI1134898364
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTHACKER FAMILY MEDICAL LLC
Location Address140 ADAMS LN STE 600-700Pikeville, KY 41501-3087
Mailing Address140 Adams Ln Ste 600-700Pikeville, KY 41501-3087 · (606) 509-2000 · Fax (606) 509-2002
Phone(606) 509-2000
Fax(606) 509-2002
Organization SubpartNo
Authorized OfficialChadward L. ThackerOwner · (606) 509-2000
Enumeration DateSeptember 10, 2021
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1134898364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
140 ADAMS LN STE 600-700, Pikeville, KY 41501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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)

Thacker Family Medical 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 Thacker Family Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chadward Thacker, MD
Family Practice
NPI 1801811542
140 ADAMS LN STE 600-700
Pikeville, KY 41501
(606) 509-2000
✔ PECOS✔ Accepts MedicareSame address

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 18D2066377

Thacker Family Medical LLC · Pikeville, KY
Active · expires Sep 24, 2027
CLIA Number18D2066377
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDr. Chadward L. Thacker
Laboratory Phone(606) 509-2000
Laboratory LocationThacker Family Medical LLC140 Adams Lane, Suite 600-700, Pikeville, KY 41501
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 Thacker Family Medical LLC's NPI number?

The NPI number for Thacker Family Medical LLC is 1134898364. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Thacker Family Medical LLC located?

Thacker Family Medical LLC is located at 140 Adams Ln Ste 600-700, Pikeville, KY 41501. The listed phone number is (606) 509-2000.

What is Thacker Family Medical LLC's specialty?

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

Is Thacker Family Medical LLC enrolled in Medicare?

Yes. Thacker Family Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thacker Family Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Thacker Family Medical 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 Thacker Family Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2066377) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thacker Family Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Thacker Family Medical 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 Thacker Family Medical LLC was last updated on January 26, 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.