JAYNES FAMILY PRACTICE
NPI 1184228553
Clinic/Center - Rural Health in Corbin, KY
About Jaynes Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAYNES FAMILY PRACTICE (NPI 1184228553) is a healthcare organization registered as a rural health in Corbin, Kentucky and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Leslie Gayle Phelps, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaynes Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Jaynes Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 18D2216702
Jaynes Family Practice · Corbin, 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 Jaynes Family Practice's NPI number?
The NPI number for Jaynes Family Practice is 1184228553. It was assigned to this organization in the NPPES registry on November 25, 2020.
Where is Jaynes Family Practice located?
Jaynes Family Practice is located at 1013 Master St, Corbin, KY 40701. The listed phone number is (606) 304-3794.
What is Jaynes Family Practice's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Jaynes Family Practice enrolled in Medicare?
Yes. Jaynes Family Practice is registered in the Medicare PECOS enrollment system.
When is Jaynes Family Practice's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Rural Health Clinic) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jaynes Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Jaynes Family Practice. 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 (9), Clinical Social Worker (1) and Mental Health Counselor (1). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jaynes Family Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2216702) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jaynes Family Practice accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jaynes Family Practice 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 Jaynes Family Practice was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jaynes Family Practice · NPI 1184228553
Rural Health organization in Corbin, Kentucky. Organization record, active in the CMS NPPES registry since November 25, 2020.
## Identity
- **NPI:** 1184228553 (Entity type: Organization)
- **Enumerated:** November 25, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Leslie Phelps, OWNER
## Practice location
- **Address:** 1013 MASTER ST, Corbin, KY 40701-1065
- **Phone:** (606) 304-3794 · **Fax:** (606) 280-4051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Kentucky, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Clinical Social Worker (1), Mental Health Counselor (1); 1 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184228553) · Data from the CMS NPPES public registry.