PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
NPI 1366227555
Clinic/Center - Rural Health in Whitesburg, KY

Active since August 28, 2023CLIA 18D2291236 · Waiver
47 HIGHWAY 119 S, WHITESBURG, KY 41858(606) 439-1300(606) 439-1400 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primary Care Centers Of Eastern Kentucky, Llc NPPES

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

PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC (NPI 1366227555) is a healthcare organization registered as a rural health in Whitesburg, Kentucky and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Raedawnua Jade Strunk, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366227555
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Location Address47 HIGHWAY 119 SWhitesburg, KY 41858-6100
Mailing AddressPo Box 1988Hazard, KY 41702-1988 · (606) 435-7642 · Fax (606) 436-5282
Fax(606) 439-1400
Organization SubpartYes
Authorized OfficialRaedawnua Jade StrunkCredentialing · (606) 435-7642
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1366227555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
47 HIGHWAY 119 S, Whitesburg, KY 41858

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)

Primary Care Centers Of Eastern Kentucky, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Primary Care Centers Of Eastern Kentucky, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Family Practice3
Mental Health Counselor2
Pediatric Medicine1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1083137673
47 HIGHWAY 119 S STE 3
Whitesburg, KY 41858
(606) 633-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295406494
214 HOSPITAL RD
Whitesburg, KY 41858
(606) 633-4414
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1801720388
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1679269096
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS25 mi
Nurse Practitioner
NPI 1447061635
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Mental Health Counselor
NPI 1679224257
101 TOWN AND COUNTRY LN STE 106
Hazard, KY 41701
(606) 435-7557
✔ PECOS25 mi
Family Practice
NPI 1770202079
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1578224622
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1619619053
101 TOWN AND COUNTRY LN SUITE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1942008180
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1518124874
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Mental Health Counselor
NPI 1942608286
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS25 mi
Pediatric Medicine
NPI 1053562561
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1427525377
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1154966703
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1184490666
101 TOWN AND COUNTRY LN
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1407730690
181 ROY CAMPBELL DR
Hazard, KY 41701
(606) 439-1316
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1558242644
200 MEDICAL CENTER DR STE 3P
Hazard, KY 41701
(606) 487-7955
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1598766768
1655 EAST HWY 3094
East Bernstadt, KY 40729
(606) 843-2339
✔ PECOS72 mi
Nurse Practitioner
NPI 1043961717
732 HIGHWAY 36
Frenchburg, KY 40322
(606) 768-2191
✔ PECOS73 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 18D2291236

Primary Care Centers Of Eastern Kentucky · Whitesburg, KY
Active · expires Oct 5, 2027
CLIA Number18D2291236
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMr. Tyler S. Spencer
Laboratory Phone(606) 435-7651
Laboratory LocationPrimary Care Centers Of Eastern Kentucky47 Highway 119, S, Ste 3, Whitesburg, KY 41858
CLIA data matches this NPI record on: Address Name
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 Primary Care Centers Of Eastern Kentucky, LLC's NPI number?

The NPI number for Primary Care Centers Of Eastern Kentucky, LLC is 1366227555. It was assigned to this organization in the NPPES registry on August 28, 2023.

Where is Primary Care Centers Of Eastern Kentucky, LLC located?

Primary Care Centers Of Eastern Kentucky, LLC is located at 47 Highway 119 S, Whitesburg, KY 41858. The listed phone number is (606) 439-1300.

What is Primary Care Centers Of Eastern Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Primary Care Centers Of Eastern Kentucky, LLC enrolled in Medicare?

Yes. Primary Care Centers Of Eastern Kentucky, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Centers Of Eastern Kentucky, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Primary Care Centers Of Eastern Kentucky, 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. The largest specialties are Nurse Practitioner (14), Family Practice (3) and Mental Health Counselor (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Centers Of Eastern Kentucky, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2291236) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Centers Of Eastern Kentucky, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Primary Care Centers Of Eastern Kentucky, 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 Primary Care Centers Of Eastern Kentucky, LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.