1. Home
  2. Directory
  3. Kentucky
  4. Russellville
  5. Family Medicine
  6. NPI Profile

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

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: August 23, 2026.

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

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
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICK KEVIN HAYDEN M.D.
Family Medicine
1719 NASHVILLE ST, SUITE C
RUSSELLVILLE, KY 42276
Logan County (270) 726-7664
PATRICK K HAYDEN LOGAN FAMILY PRACTICE
Family Medicine
1719 NASHVILLE ST, SUITE C
RUSSELLVILLE, KY 42276
Logan County (270) 726-7664
MELINDA E HANN ARNP
Nurse Practitioner (Family)
1719 NASHVILLE ST, SUITE C
RUSSELLVILLE, KY 42276
Logan County (270) 726-7664

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.

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 13 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.