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HICKORY MEDICAL DIRECT PRIMARY CARE, LLC
NPI 1295196087
Family Medicine in Bellefontaine, OH

Active since March 08, 2016CLIA 36D2105608 · Microscopy
208 W COLUMBUS AVE, BELLEFONTAINE, OH 43311(937) 404-2488(937) 404-2428 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hickory Medical Direct Primary Care, Llc NPPES

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

HICKORY MEDICAL DIRECT PRIMARY CARE, LLC (NPI 1295196087) is a healthcare organization registered as a family medicine in Bellefontaine, Ohio and active in the NPI registry since March 2016. The organization holds a CLIA Microscopy certificate valid through November 30, 2027 and lists Ryan D Kauffman, Founder, as its authorized official.

NPPES Registry Identity

NPI1295196087
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHICKORY MEDICAL DIRECT PRIMARY CARE, LLC
Location Address208 W COLUMBUS AVEBellefontaine, OH 43311-1434
Mailing Address208 W Columbus AveBellefontaine, OH 43311-1434 · (937) 404-2488 · Fax (937) 404-2428
Phone(937) 404-2488
Fax(937) 404-2428
Organization SubpartNo
Authorized OfficialRyan D KauffmanFounder · (937) 404-2488
Enumeration DateMarch 8, 2016
✔ NPI 1295196087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
208 W COLUMBUS AVE, Bellefontaine, OH 43311
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2105608

Hickory Medical Direct Primary Care · Bellefontaine, OH
Active · expires Nov 30, 2027
CLIA Number36D2105608
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMarie Y. Barth
Laboratory Phone(937) 404-2488
Laboratory LocationHickory Medical Direct Primary Care1125 Rush Avenue, Bellefontaine, OH 43311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

TARA CARITAS KLOFTA APRN-CNP
Nurse Practitioner (Family)
208 W COLUMBUS AVE
BELLEFONTAINE, OH 43311
Logan County (937) 482-3915
MR. RYAN D. KAUFFMAN M.D.
Family Medicine
208 W COLUMBUS AVE
BELLEFONTAINE, OH 43311
Logan County (937) 404-2488
MR. ROGER J KAUFFMAN M.D.
Family Medicine
208 W COLUMBUS AVE
BELLEFONTAINE, OH 43311
Logan County (937) 404-2488

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 Hickory Medical Direct Primary Care, LLC's NPI number?

The NPI number for Hickory Medical Direct Primary Care, LLC is 1295196087. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Hickory Medical Direct Primary Care, LLC located?

Hickory Medical Direct Primary Care, LLC is located at 208 W Columbus Ave, Bellefontaine, OH 43311. The listed phone number is (937) 404-2488.

What is Hickory Medical Direct Primary Care, LLC's specialty?

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

Does Hickory Medical Direct Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2105608) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hickory Medical Direct Primary Care, LLC was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.