SOUTHFORK MEDICAL CLINIC PLLC
NPI 1295718757
Specialist in Whitley City, KY
About Southfork Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHFORK MEDICAL CLINIC PLLC (NPI 1295718757) is a healthcare organization registered as a specialist in Whitley City, Kentucky and active in the NPI registry since November 2005. The organization lists Francis Pimentel, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Southfork Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Southfork Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Southfork Medical Clinic PLLC's NPI number?
The NPI number for Southfork Medical Clinic PLLC is 1295718757. It was assigned to this organization in the NPPES registry on November 29, 2005.
Where is Southfork Medical Clinic PLLC located?
Southfork Medical Clinic PLLC is located at 71 Medical Ln, Whitley City, KY 42653. The listed phone number is (606) 376-7212.
What is Southfork Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Southfork Medical Clinic PLLC enrolled in Medicare?
Yes. Southfork Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southfork Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Southfork Medical Clinic PLLC. 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 (6) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southfork Medical Clinic PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Southfork Medical Clinic PLLC 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 Southfork Medical Clinic PLLC was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Southfork Medical Clinic Pllc · NPI 1295718757
Specialist organization in Whitley City, Kentucky. Organization record, active in the CMS NPPES registry since November 29, 2005.
## Identity
- **NPI:** 1295718757 (Entity type: Organization)
- **Enumerated:** November 29, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Francis Pimentel, MEDICAL DIRECTOR
## Practice location
- **Address:** 71 MEDICAL LN, Whitley City, KY 42653-4216
- **Phone:** (606) 376-7212 · **Fax:** (606) 376-7216
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Certified Clinical Nurse Specialist (CNS) (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2011
- **Other identifiers:** Medicare OSCAR/certification 183920 (KY); Medicare PIN 183920 (KY); Medicaid 35001593 (KY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295718757) · Data from the CMS NPPES public registry.