HOMEPLACE CLINIC DORTON
NPI 1184298580
Clinic/Center - Federally Qualified Health Center (FQHC) in Jenkins, KY

Active since May 19, 2021
29 CABIN FORK, JENKINS, KY 41537(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2022, Nov 4, 2021, Jun 10, 2021 and 1 more (4 updates tracked since 2021).

About Homeplace Clinic Dorton NPPES

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

HOMEPLACE CLINIC DORTON (NPI 1184298580) is a healthcare organization registered as a federally qualified health center (fqhc) in Jenkins, Kentucky and active in the NPI registry since May 2021. The organization lists Roxann Cordial, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1184298580
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Location Address29 CABIN FORKJenkins, KY 41537
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Fax(606) 886-4433
Organization SubpartNo
Authorized OfficialRoxann CordialCredentialing Coordinator · (606) 886-8572
Enumeration DateMay 19, 2021
Last NPPES UpdateOctober 21, 20224 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1184298580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
29 CABIN FORK, Jenkins, KY 41537

Other Names 1

Doing Business AsHomeplace Clinic Dorton

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)

Homeplace Clinic Dorton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20220110001895Part A · Federally Qualified Health Center (FQHC)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

236

Medicare enrollment records show 236 clinicians reassign Medicare billing to Homeplace Clinic Dorton, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Mental Health Counselor79
Clinical Social Worker78
Nurse Practitioner57
Psychiatry5
Clinical Psychologist3
Optometry3
Dentist2
Obstetrics/Gynecology2
6 other specialties7

Nearest to this location (20)

See all 236
Nurse Practitioner
NPI 1528083813
911 BYPASS RD BLDG A
Pikeville, KY 41501
(606) 260-8613
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1063839876
7629 KY ROUTE 979
Grethel, KY 41631
(606) 587-2200
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1487768990
118 RIVER DR
Pikeville, KY 41501
(606) 432-3143
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1699112441
293 DESKINS HOLW
Pikeville, KY 41501
(606) 886-8572
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1609880822
3911 N MAYO TRL
Pikeville, KY 41501
(833) 510-4357
✔ PECOS16 mi
Clinical Social Worker
NPI 1689955999
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS20 mi
Mental Health Counselor
NPI 1891106738
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS20 mi
Clinical Social Worker
NPI 1891417556
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS20 mi
Mental Health Counselor
NPI 1972146462
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare20 mi
Clinical Social Worker
NPI 1740504174
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Psychiatry
NPI 1003131335
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1740649607
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Mental Health Counselor
NPI 1124162334
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS29 mi
Family Practice
NPI 1972796548
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Clinical Psychologist
NPI 1396917639
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-4350
✔ PECOS29 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1447243829
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Pediatric Medicine
NPI 1881657054
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS29 mi
Obstetrics/Gynecology
NPI 1144537812
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Certified Nurse Midwife (CNM)
NPI 1922282078
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
Optometry
NPI 1790885416
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare29 mi
See all 236 clinicians

Source: 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 Mountain Comprehensive Care Center, Inc.'s NPI number?

The NPI number for Mountain Comprehensive Care Center, Inc. is 1184298580. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is doing business as Homeplace Clinic Dorton.

Where is Mountain Comprehensive Care Center, Inc. located?

Mountain Comprehensive Care Center, Inc. is located at 29 Cabin Fork, Jenkins, KY 41537. The listed phone number is (606) 886-8572.

What is Mountain Comprehensive Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mountain Comprehensive Care Center, Inc. enrolled in Medicare?

Yes. Mountain Comprehensive Care Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Mountain Comprehensive Care Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. 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 Mountain Comprehensive Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 236 clinicians in 14 Medicare specialties reassign their Medicare billing to Mountain Comprehensive Care Center, 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 Mental Health Counselor (79), Clinical Social Worker (78) and Nurse Practitioner (57). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain Comprehensive Care Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mountain Comprehensive Care Center, Inc. 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 Mountain Comprehensive Care Center, Inc. was last updated on October 21, 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.