LOGAN FAMILY PRACTICE LLC
NPI 1285207241
Family Medicine in Russellville, KY

Q: What is Logan Family Practice LLC's NPI number?

The NPI number for Logan Family Practice LLC is 1285207241. It was assigned to this organization in the NPPES registry on July 19, 2021.

Q: What is Logan Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 19, 2021

1719 NASHVILLE ST, RUSSELLVILLE, KY 42276(270) 726-7664 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Nov 9, 2021, Aug 18, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Logan Family Practice Llc NPPES

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

LOGAN FAMILY PRACTICE LLC (NPI 1285207241) is a healthcare organization registered as a family medicine in Russellville, Kentucky and active in the NPI registry since July 2021. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1285207241

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLOGAN FAMILY PRACTICE LLC

Location Address1719 NASHVILLE STRussellville, KY 42276-7804

Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063

Phone(270) 726-7664

Organization SubpartNo

Authorized OfficialJohnetta TraylorAo · (502) 596-6063

Enumeration DateJuly 19, 2021

Last NPPES UpdateJune 26, 20254 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1285207241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1719 NASHVILLE ST, Russellville, KY 42276

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Logan Family Practice LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Erinn Basista, DNP, APRN, FNP-C

Nurse Practitioner

NPI 1457954471

1719 NASHVILLE ST STE C
Russellville, KY 42276

(270) 726-7664

✔ PECOSSame address

Patrick Hayden, M.D.

Family Practice

NPI 1295847184

1719 NASHVILLE ST SUITE C
Russellville, KY 42276

(270) 726-7664

✔ PECOSSame address

Melissa Corbin

Nurse Practitioner

NPI 1922678143

975 HOPKINSVILLE RD
Russellville, KY 42276

(270) 726-2738

✔ PECOS✔ Accepts Medicare2.8 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 Family Practice LLC's NPI number?

The NPI number for Logan Family Practice LLC is 1285207241. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Logan Family Practice LLC located?

Logan Family Practice LLC is located at 1719 Nashville St, Russellville, KY 42276. The listed phone number is (270) 726-7664.

What is Logan Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Logan Family Practice LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Logan Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Logan Family Practice LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Logan Family Practice LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Logan Family 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 Family Practice LLC was last updated on June 26, 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.