JENNIE STUART MEDICAL GROUP
NPI 1447708805
Clinic/Center - Rural Health in Hopkinsville, KY

NPI Status: Active since September 14, 2016

Contact Information

105 KEETON DR
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 887-6565
Fax: (270) 887-6575

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rural Health
CLIA Number: 18D2289600
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 09-12-2025

About JENNIE STUART MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Jennie Stuart Medical Group, a primary care provider established in Hopkinsville, Kentucky operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1447708805 assigned on September 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Jennie Stuart Medical Group. The authorized official of this NPI record is Eric Lee (Ceo/president)

NPI: 1447708805
Provider Legal Name: FAIRVIEW PHYSICIANS NETWORK, LLC
Other Organization Name: JENNIE STUART MEDICAL GROUP
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 105 KEETON DR HOPKINSVILLE, KY 42240
Location Phone: (270) 887-6565
Location Fax: (270) 887-6575
Mailing Address: 102 W 18TH ST HOPKINSVILLE, KY 42240
Mailing Phone: (270) 707-2100
Mailing Fax: (270) 887-6575
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 09-14-2016
Last Update Date: 09-30-2021
Code Navigator

A primary care provider (PCP) like Jennie Stuart Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rural Health
Taxonomy Code: 261QR1300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ERIC LEE
Authorized Official Title: CEO/PRESIDENT
Authorized Official Phone: (270) 887-0100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 18D2289600
Facility Type: Physician Office
Certificate Effective Date: September 13, 2023
Certificate Expiration Date: September 12, 2025
Laboratory Director: DR. JEROME BUDHAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Jennie Stuart Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	4	7	7	0	8	8	0	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	8	7	14	0	16	8	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 4 + 0 + 1 + 6 + 8 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1447708805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.