DEACONESS CLINIC, INC
NPI 1184243370
Family Medicine in Dixon, KY

Active since April 09, 2020CLIA 18D0326507 · Microscopy
1335 US HIGHWAY 41A S, DIXON, KY 42409(270) 639-9101(270) 639-9332 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Clinic, Inc NPPES

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

DEACONESS CLINIC, INC (NPI 1184243370), doing business as Deaconess Clinic - Dixon, is a healthcare organization registered as a family medicine in Dixon, Kentucky and active in the NPI registry since April 2020. The organization holds a CLIA Microscopy certificate valid through March 21, 2028 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184243370
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address1335 US HIGHWAY 41A SDixon, KY 42409-9447
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(270) 639-9332
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
NPI 1184243370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1335 US HIGHWAY 41A S, Dixon, KY 42409

Other Names 1

Doing Business AsDeaconess Clinic - Dixon

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 18D0326507

Deaconess Clinic Dixon Rhc · Dixon, KY
Active · expires Mar 21, 2028
CLIA Number18D0326507
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorDr. Kelly Cole
Laboratory Phone(270) 833-7549
Laboratory LocationDeaconess Clinic Dixon Rhc1355 Us Hwy 41 A South, Dixon, KY 42409
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1335 US HIGHWAY 41A S
DIXON, KY 42409

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 Deaconess Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1184243370. It was assigned to this organization in the NPPES registry on April 9, 2020. The provider is doing business as Deaconess Clinic - Dixon.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 1335 Us Highway 41A S, Dixon, KY 42409. The listed phone number is (270) 639-9101.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0326507) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.