FOUNDATIONS PRIMARY CARE LLC
NPI 1356895932
Nurse Practitioner - Family in Cadiz, KY

Active since August 11, 2016CLIA 18D2117871 · Waiver

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2016, Aug 11, 2016 (2 updates tracked since 2016).

About Foundations Primary Care Llc NPPES

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

FOUNDATIONS PRIMARY CARE LLC (NPI 1356895932) is a healthcare organization registered as a family in Cadiz, Kentucky and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Holly Mccormick, Owner, as its authorized official.

NPPES Registry Identity

NPI1356895932
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFOUNDATIONS PRIMARY CARE LLC
Location Address249 MAIN STCadiz, KY 42211-9154
Mailing Address249 Main StCadiz, KY 42211-9154
Organization SubpartNo
Authorized OfficialHolly MccormickOwner · (270) 206-7114
Enumeration DateAugust 11, 2016
Last NPPES UpdateSeptember 27, 20162 updates tracked since enumeration
✔ NPI 1356895932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
249 MAIN ST, Cadiz, KY 42211

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

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)

Foundations Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Foundations Primary Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1346291994
249 MAIN ST
Cadiz, KY 42211
(270) 206-7114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194315606
249 MAIN ST
Cadiz, KY 42211
(270) 206-7114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972197101
1717 HIGH ST
Hopkinsville, KY 42240
(270) 887-0319
✔ PECOS✔ Accepts Medicare18 mi

Source: 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

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 Waiver 18D2117871

Foundations Primary Care, LLC · Cadiz, KY
Active · expires Aug 24, 2028
CLIA Number18D2117871
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorHolly A. Mccormick Np
Laboratory Phone(270) 206-7114
Laboratory LocationFoundations Primary Care, LLC249 Main Street, Cadiz, KY 42211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Foundations Primary Care LLC's NPI number?

The NPI number for Foundations Primary Care LLC is 1356895932. It was assigned to this organization in the NPPES registry on August 11, 2016.

Where is Foundations Primary Care LLC located?

Foundations Primary Care LLC is located at 249 Main St, Cadiz, KY 42211. The listed phone number is (270) 206-7114.

What is Foundations Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Foundations Primary Care LLC enrolled in Medicare?

Yes. Foundations Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foundations Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Foundations Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Foundations Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2117871) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Foundations Primary Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Foundations Primary Care 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 Foundations Primary Care LLC was last updated on September 27, 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.