FAMILY PRACTICE CLINIC OF BOONEVILLE, INC.
NPI 1326152109
Clinic/Center - Rural Health in Booneville, KY
About Family Practice Clinic Of Booneville, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. (NPI 1326152109) is a healthcare organization registered as a rural health in Booneville, Kentucky and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kim Cox, Owner Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Family Practice Clinic Of Booneville, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Family Practice Clinic Of Booneville, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 41Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 of Accreditation 18D2090598
Family Practice Clinic Of Booneville Inc · Booneville, KYCertificate of Waiver 18D2289659
Family Practice Clinic Of Booneville, Inc · Booneville, KYFrequently 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 Family Practice Clinic Of Booneville, Inc.'s NPI number?
The NPI number for Family Practice Clinic Of Booneville, Inc. is 1326152109. It was assigned to this organization in the NPPES registry on August 18, 2006.
Where is Family Practice Clinic Of Booneville, Inc. located?
Family Practice Clinic Of Booneville, Inc. is located at 200 Mulberry St Suite A, Booneville, KY 41314. The listed phone number is (606) 593-6023.
What is Family Practice Clinic Of Booneville, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Family Practice Clinic Of Booneville, Inc. enrolled in Medicare?
Yes. Family Practice Clinic Of Booneville, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Practice Clinic Of Booneville, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Practice Clinic Of Booneville, Inc.. 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 (32), Mental Health Counselor (4) and Clinical Social Worker (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Practice Clinic Of Booneville, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Family Practice Clinic Of Booneville, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Family Practice Clinic Of Booneville, Inc. 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 Family Practice Clinic Of Booneville, Inc. was last updated on December 22, 2015. 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.
# Family Practice Clinic Of Booneville, Inc. · NPI 1326152109
Rural Health organization in Booneville, Kentucky. Organization record, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1326152109 (Entity type: Organization)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Kim Cox, OWNER OPERATOR
## Practice location
- **Address:** 200 MULBERRY ST, SUITE A, Booneville, KY 41314-7505
- **Phone:** (606) 593-6023 · **Fax:** (606) 593-6087
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Mental Health Counselor (4), Clinical Social Worker (2); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1326152109/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2015
- **Other identifiers:** Medicare NSC 7443350001 (KY); Medicaid 7100159610 (KY); Medicare PIN 0673201 (KY); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326152109) · Data from the CMS NPPES public registry.