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LOGAN GENERAL HOSPITAL LLC
NPI 1255064531
Clinic/Center - Rural Health in Logan, WV

Active since July 05, 2022
1690 HOLDEN RD, LOGAN, WV 25601(304) 239-2147(304) 239-2309 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2025, Jul 28, 2022, Jul 5, 2022 (3 updates tracked since 2022).

About Logan General Hospital Llc NPPES

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

LOGAN GENERAL HOSPITAL LLC (NPI 1255064531), doing business as Logan Regional Primary Care - Holden, is a healthcare organization registered as a rural health in Logan, West Virginia and active in the NPI registry since July 2022. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1255064531
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLOGAN GENERAL HOSPITAL LLC
Location Address1690 HOLDEN RDLogan, WV 25601-7026
Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063
Phone(304) 239-2147
Fax(304) 239-2309
Organization SubpartNo
Authorized OfficialJohnetta TraylorAo · (502) 596-6063
Enumeration DateJuly 5, 2022
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1255064531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1690 HOLDEN RD, Logan, WV 25601
Open in Google Maps ↗

Other Names 1

Doing Business AsLogan Regional Primary Care - Holden

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Logan General Hospital LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner11
Family Practice4
General Surgery4
Internal Medicine4
Neurology4
Podiatry3
Urology3
Anesthesiology2
8 other specialties10

Nearest to this location (20)

See all 45
Carla Ramey, FNP-C
Nurse Practitioner
NPI 1700262581
1690 HOLDEN RD
Logan, WV 25601
(304) 239-2147
✔ PECOS✔ Accepts MedicareSame address
Robert Toparis, DO
Hospitalist
NPI 1558352732
601 HOLDEN RD
Holden, WV 25625
(304) 239-2147
✔ PECOS✔ Accepts Medicare0.5 mi
William Mullen, D.O.
Anesthesiology
NPI 1760446686
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1477
✔ PECOS✔ Accepts Medicare2.4 mi
Travis Blanton, MD
Anesthesiology
NPI 1013479856
70 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare2.5 mi
Kozhaya Mallah, MD
Internal Medicine
NPI 1376717694
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1602
✔ PECOS✔ Accepts Medicare2.5 mi
Kamel Marzouk, M.D.
Pulmonary Disease
NPI 1275575391
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1891
✔ PECOS✔ Accepts Medicare2.5 mi
Robert Mccleary, DO
Orthopedic Surgery
NPI 1538145313
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1818
✔ PECOS✔ Accepts Medicare2.5 mi
Waris Waris
Medical Oncology
NPI 1891807822
20 HOSPITAL DR
Logan, WV 25601
(304) 239-8070
✔ PECOS✔ Accepts Medicare2.5 mi
Brandi Vance, FNP-C
Nurse Practitioner
NPI 1366001026
83 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare2.5 mi
Regenea Quick
Nurse Practitioner
NPI 1134724826
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1891
✔ PECOS✔ Accepts Medicare2.5 mi
Robert Perez, M.D.
Internal Medicine
NPI 1073578647
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1630
✔ PECOS✔ Accepts Medicare2.5 mi
Zial Salem, M.D.
Gastroenterology
NPI 1679538052
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1820
✔ PECOS✔ Accepts Medicare2.5 mi
Jennifer Vernatter, APRN FNP-BC
Nurse Practitioner
NPI 1902456718
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare2.5 mi
Roderick Young, M.D.
Family Practice
NPI 1235295072
60 HOSPITAL DR
Logan, WV 25601
(304) 831-1335
✔ PECOS✔ Accepts Medicare2.6 mi
James Paugh, D.O.
General Surgery
NPI 1083866511
77 HOSPITAL DRIVE
Logan, WV 25601
(304) 792-1847
✔ PECOS✔ Accepts Medicare2.7 mi
Mark Tarakji, MD
General Surgery
NPI 1952645111
77 HOSPITAL DRIVE
Logan, WV 25601
(304) 792-1847
✔ PECOS✔ Accepts Medicare2.7 mi
Subhash Bhanot, MD
Urology
NPI 1356370142
140 STOLLINGS AVE SUITE 1
Logan, WV 25601
(304) 752-2555
✔ PECOS3.8 mi
Benjamin Tackett, FNP
Nurse Practitioner
NPI 1265959704
140 STOLLINGS AVE STE 1
Logan, WV 25601
(304) 752-2555
✔ PECOS✔ Accepts Medicare3.8 mi
Tonya Crum
Nurse Practitioner
NPI 1205719770
555 MAIN STREET
Chapmanville, WV 25508
(304) 688-9901
✔ PECOS✔ Accepts Medicare9.7 mi
Zackery Asbury, MD
Family Practice
NPI 1508489246
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS✔ Accepts Medicare10 mi
See all 45 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 Logan General Hospital LLC's NPI number?

The NPI number for Logan General Hospital LLC is 1255064531. It was assigned to this organization in the NPPES registry on July 5, 2022. The provider is doing business as Logan Regional Primary Care - Holden.

Where is Logan General Hospital LLC located?

Logan General Hospital LLC is located at 1690 Holden Rd, Logan, WV 25601. The listed phone number is (304) 239-2147.

What is Logan General Hospital LLC's specialty?

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

Is Logan General Hospital LLC enrolled in Medicare?

Yes. Logan General Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Logan General Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 16 Medicare specialties reassign their Medicare billing to Logan General Hospital 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. The largest specialties are Nurse Practitioner (11), Family Practice (4) and General Surgery (4). Of these, 1 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Logan General Hospital LLC accept?

Health plans from CareSource list Logan General Hospital LLC 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 Logan General Hospital LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.