AUBURN COMMUNITY FAMILY CLINIC
NPI 1265740765
Nurse Practitioner in Auburn, KY

Active since September 17, 2010
128 SUGAR MAPLE DRIVE, AUBURN, KY 42206(615) 957-0847 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2024, Feb 2, 2016 (2 updates tracked since 2016).

About Auburn Community Family Clinic NPPES

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

AUBURN COMMUNITY FAMILY CLINIC (NPI 1265740765) is a healthcare organization registered as a nurse practitioner in Auburn, Kentucky and active in the NPI registry since September 2010. The organization lists Kathy J Teague, Vice President And Corp Secretary, as its authorized official.

NPPES Registry Identity

NPI1265740765
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLOGAN PHYSICIAN PRACTICE, LLC
Location Address128 SUGAR MAPLE DRIVEAuburn, KY 42206
Mailing Address128 Sugar Maple DriveAuburn, KY 42206 · (615) 957-0847
Organization SubpartNo
Authorized OfficialKathy J TeagueVice President And Corp Secretary · (629) 253-5121
Enumeration DateSeptember 17, 2010
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1265740765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
128 SUGAR MAPLE DRIVE, Auburn, KY 42206

Other Names 1

Doing Business AsAuburn Community Family Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Auburn Community Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Auburn Community Family Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Family Practice1
General Surgery1
Internal Medicine1
Orthopedic Surgery1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1699762690
128 SUGAR MAPLE DR
Auburn, KY 42206
(270) 344-5157
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639537541
128 SUGAR MAPLE DR
Auburn, KY 42206
(270) 542-5500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386751709
104 E MAIN ST
Auburn, KY 42206
(270) 542-8888
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1851549422
104 E MAIN ST
Auburn, KY 42206
(270) 542-8888
✔ PECOS✔ Accepts Medicare0.5 mi
Orthopedic Surgery
NPI 1831181593
1623 NASHVILLE ST SUITE 102 AND 103
Russellville, KY 42276
(270) 725-4862
✔ PECOS10 mi
Nurse Practitioner
NPI 1457954471
1719 NASHVILLE ST STE C
Russellville, KY 42276
(270) 726-7664
✔ PECOS10 mi
General Surgery
NPI 1003918731
1623 NASHVILLE ST STE 106
Russellville, KY 42276
(270) 726-8090
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1922678143
975 HOPKINSVILLE RD
Russellville, KY 42276
(270) 726-2738
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1710332648
440 HIGH ST STE A
Bowling Green, KY 42101
(270) 282-7105
✔ PECOS18 mi
Internal Medicine
NPI 1821081779
201 PARK ST
Bowling Green, KY 42101
(270) 780-5250
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1700839040
118 S MAIN ST
Elkton, KY 42220
(270) 265-5023
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1770954745
223 BURLEY AVE
Hopkinsville, KY 42240
(270) 887-6565
✔ PECOS42 mi
Nurse Practitioner
NPI 1053807131
650 JOEL DR
Fort Campbell, KY 42223
(270) 798-8727
✔ PECOS44 mi
Nurse Practitioner
NPI 1568640993
950 MAIN ST
Munfordville, KY 42765
(270) 524-1201
✔ PECOS53 mi

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 Physician Practice, LLC's NPI number?

The NPI number for Logan Physician Practice, LLC is 1265740765. It was assigned to this organization in the NPPES registry on September 17, 2010. The provider is doing business as Auburn Community Family Clinic.

Where is Logan Physician Practice, LLC located?

Logan Physician Practice, LLC is located at 128 Sugar Maple Drive, Auburn, KY 42206. The listed phone number is (615) 957-0847.

What is Logan Physician Practice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Logan Physician Practice, LLC enrolled in Medicare?

Yes. Logan Physician Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Logan Physician Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Logan Physician Practice, 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 (10), Family Practice (1) and General Surgery (1). 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.

What insurance does Logan Physician Practice, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Logan Physician Practice, 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 Physician Practice, LLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.