FAMILY PRACTICE ASSOCIATES OF SULLIVAN COUNTY
NPI 1447805965
Clinic/Center - Rural Health in Sullivan, IN
About Family Practice Associates Of Sullivan County NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PRACTICE ASSOCIATES OF SULLIVAN COUNTY (NPI 1447805965) is a healthcare organization registered as a rural health in Sullivan, Indiana and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Darrell D Watson, Director Of Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 Associates Of Sullivan County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Family Practice Associates Of Sullivan County, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (18)
New Smyrna Beach, FL 32168
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 15D0991342
Family Practice Associates · Sullivan, INFrequently 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 Sullivan County Community Hospital's NPI number?
The NPI number for Sullivan County Community Hospital is 1447805965. It was assigned to this organization in the NPPES registry on August 2, 2019. The provider is doing business as Family Practice Associates Of Sullivan County.
Where is Sullivan County Community Hospital located?
Sullivan County Community Hospital is located at 2229 Mary Sherman Dr, Sullivan, IN 47882. The listed phone number is (812) 268-3318.
What is Sullivan County Community Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sullivan County Community Hospital enrolled in Medicare?
Yes. Sullivan County Community Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sullivan County Community Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Sullivan County Community Hospital. 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 Emergency Medicine (1). Of these, 4 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sullivan County Community Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D0991342) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sullivan County Community Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Sullivan County Community Hospital 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 Sullivan County Community Hospital was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Associates Of Sullivan County · NPI 1447805965
Rural Health organization in Sullivan, Indiana. Organization record, active in the CMS NPPES registry since August 2, 2019.
## Identity
- **NPI:** 1447805965 (Entity type: Organization)
- **Enumerated:** August 2, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sullivan County Community Hospital
- **Organization subpart:** No
- **Authorized official:** Darrell Watson, DIRECTOR OF REVENUE CYCLE
## Practice location
- **Address:** 2229 MARY SHERMAN DR, Sullivan, IN 47882-7633
- **Phone:** (812) 268-3318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (3), Emergency Medicine (1); 4 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447805965) · Data from the CMS NPPES public registry.