CLAY CITY PEDIATRICS, PSC
NPI 1396048872
Clinic/Center - Primary Care in Clay City, KY
About Clay City Pediatrics, Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAY CITY PEDIATRICS, PSC (NPI 1396048872) is a healthcare organization registered as a primary care in Clay City, Kentucky and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Stacey Cain, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Clay City Pediatrics, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Clay City Pediatrics, Psc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 18D2016278
Clay City Pediatrics · Clay City, 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 Clay City Pediatrics, Psc's NPI number?
The NPI number for Clay City Pediatrics, Psc is 1396048872. It was assigned to this organization in the NPPES registry on December 6, 2010.
Where is Clay City Pediatrics, Psc located?
Clay City Pediatrics, Psc is located at 98 River St, Clay City, KY 40312. The listed phone number is (606) 663-7788.
What is Clay City Pediatrics, Psc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Clay City Pediatrics, Psc enrolled in Medicare?
Yes. Clay City Pediatrics, Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clay City Pediatrics, Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Clay City Pediatrics, Psc. 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 (5), Internal Medicine (2) and Pediatric Medicine (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clay City Pediatrics, Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2016278) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clay City Pediatrics, Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Clay City Pediatrics, Psc 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 Clay City Pediatrics, Psc was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Clay City Pediatrics, Psc · NPI 1396048872
Primary Care organization in Clay City, Kentucky. Organization record, active in the CMS NPPES registry since December 6, 2010.
## Identity
- **NPI:** 1396048872 (Entity type: Organization)
- **Enumerated:** December 6, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Stacey Cain, PRACTICE MANAGER
## Practice location
- **Address:** 98 RIVER ST, Clay City, KY 40312-1314
- **Phone:** (606) 663-7788 · **Fax:** (606) 663-7785
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (2), Pediatric Medicine (2); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1396048872) · Data from the CMS NPPES public registry.