JILLIANS LLC
NPI 1215672514
Clinic/Center - Primary Care in Hopkinsville, KY

Active since May 01, 2022
111 DERRICK PL, HOPKINSVILLE, KY 42240(270) 874-2629 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jillians Llc NPPES

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

JILLIANS LLC (NPI 1215672514) is a healthcare organization registered as a primary care in Hopkinsville, Kentucky and active in the NPI registry since May 2022. The organization lists Jill Morgan, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1215672514
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJILLIANS LLC
Location Address111 DERRICK PLHopkinsville, KY 42240-1325
Mailing Address111 Derrick PlHopkinsville, KY 42240-1325 · (270) 841-0834
Organization SubpartNo
Authorized OfficialJill MorganOwner/operator · (270) 841-0834
Enumeration DateMay 1, 2022
Last NPPES UpdateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1215672514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
111 DERRICK PL, Hopkinsville, KY 42240

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jillians LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1861142051
111 DERRICK PL
Hopkinsville, KY 42240
(270) 874-2629
✔ PECOS✔ Accepts MedicareSame address

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 Jillians LLC's NPI number?

The NPI number for Jillians LLC is 1215672514. It was assigned to this organization in the NPPES registry on May 1, 2022.

Where is Jillians LLC located?

Jillians LLC is located at 111 Derrick Pl, Hopkinsville, KY 42240. The listed phone number is (270) 874-2629.

What is Jillians LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jillians LLC enrolled in Medicare?

Yes. Jillians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jillians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jillians LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jillians LLC was last updated on October 12, 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.