DEACONESS CLINIC, INC
NPI 1184243370
Family Medicine in Dixon, KY
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
Specialties & Licenses 3
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)
Deaconess Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
174Medicare enrollment records show 174 clinicians reassign Medicare billing to Deaconess Clinic, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 174Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 18D0326507
Deaconess Clinic Dixon Rhc · Dixon, 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 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.
Is Deaconess Clinic, Inc enrolled in Medicare?
Yes. Deaconess Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 174 clinicians in 16 Medicare specialties reassign their Medicare billing to Deaconess Clinic, Inc. 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 (102), Family Practice (28) and Internal Medicine (7). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Deaconess Clinic, Inc · NPI 1184243370
Family Medicine organization in Dixon, Kentucky. Organization record, active in the CMS NPPES registry since April 9, 2020.
## Identity
- **NPI:** 1184243370 (Entity type: Organization)
- **Enumerated:** April 9, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Deaconess Clinic - Dixon (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 1335 US HIGHWAY 41A S, Dixon, KY 42409-9447
- **Phone:** (270) 639-9101 · **Fax:** (270) 639-9332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 174 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (102), Family Practice (28), Internal Medicine (7); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1184243370/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184243370) · Data from the CMS NPPES public registry.