SOUTHFORK MEDICAL CLINIC PLLC
NPI 1205616265
Clinic/Center - Rural Health in Whitley City, KY

Q: What is Southfork Medical Clinic PLLC's NPI number?

The NPI number for Southfork Medical Clinic PLLC is 1205616265. It was assigned to this organization in the NPPES registry on October 5, 2023. The provider is doing business as South Fork Clinic PLLC.

Q: What is Southfork Medical Clinic PLLC's specialty?

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

Active since October 05, 2023

57 MEDICAL LANE, WHITLEY CITY, KY 42653(606) 376-7211(606) 376-9219 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 25, 2025, Apr 15, 2024, Oct 6, 2023 (3 updates tracked since 2023).

On this page

About Southfork Medical Clinic Pllc NPPES

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

SOUTHFORK MEDICAL CLINIC PLLC (NPI 1205616265), doing business as South Fork Clinic Pllc, is a healthcare organization registered as a rural health in Whitley City, Kentucky and active in the NPI registry since October 2023. The organization lists Virginia Ann Correll, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1205616265

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSOUTHFORK MEDICAL CLINIC PLLC

Location Address57 MEDICAL LANEWhitley City, KY 42653

Mailing AddressPo Box 490Whitley City, KY 42653-0490 · (606) 376-7211

Phone(606) 376-7211

Fax(606) 376-9219

Organization SubpartNo

Authorized OfficialVirginia Ann CorrellCredentialing · (606) 376-7212

Enumeration DateOctober 5, 2023

Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1205616265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

57 MEDICAL LANE, Whitley City, KY 42653

Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Fork Clinic Pllc

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 Southfork Medical Clinic PLLC's NPI number?

The NPI number for Southfork Medical Clinic PLLC is 1205616265. It was assigned to this organization in the NPPES registry on October 5, 2023. The provider is doing business as South Fork Clinic PLLC.

Where is Southfork Medical Clinic PLLC located?

Southfork Medical Clinic PLLC is located at 57 Medical Lane, Whitley City, KY 42653. The listed phone number is (606) 376-7211.

What is Southfork Medical Clinic PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southfork Medical Clinic PLLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.