ADVENTHEALTH LONDON PARKWAY CLINIC
NPI 1477184968
Clinic/Center - Rural Health in London, KY

Active since February 03, 2020CLIA 18D0934788 · Waiver
102 PROFESSIONAL DR STE 2, LONDON, KY 40741(606) 878-9611(606) 878-6833 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2021, Aug 10, 2021, Jan 13, 2021 and 1 more (4 updates tracked since 2020).

About Adventhealth London Parkway Clinic NPPES

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

ADVENTHEALTH LONDON PARKWAY CLINIC (NPI 1477184968) is a healthcare organization registered as a rural health in London, Kentucky and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through August 28, 2028 and lists Christopher Self, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477184968
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL HOSPITAL INC
Location Address102 PROFESSIONAL DR STE 2London, KY 40741-8857
Mailing Address56 Marie Langdon DrManchester, KY 40962-6329 · (606) 598-5104 · Fax (606) 712-1200
Fax(606) 878-6833
Organization SubpartNo
Authorized OfficialChristopher SelfCeo · (606) 598-5104
Enumeration DateFebruary 3, 2020
Last NPPES UpdateAugust 20, 20214 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1477184968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
102 PROFESSIONAL DR STE 2, London, KY 40741

Other Names 1

Doing Business AsAdventhealth London Parkway Clinic

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)

Adventhealth London Parkway Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Adventhealth London Parkway Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner59
Internal Medicine10
Certified Registered Nurse Anesthetist (CRNA)8
Emergency Medicine5
General Surgery5
Diagnostic Radiology4
Family Practice4
Pediatric Medicine4
16 other specialties24

Nearest to this location (20)

See all 123
Nurse Practitioner
NPI 1093861874
100 PROFESSIONAL DR STE 102
London, KY 40741
(606) 878-9611
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1073525861
102 PROFESSIONAL DR SUITE #2
London, KY 40741
(606) 878-9611
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1831757368
1120 REUBEN ST
London, KY 40741
(606) 401-0051
✔ PECOS✔ Accepts Medicare1.5 mi
Cardiovascular Disease (Cardiology)
NPI 1811993280
1380 HIGHWAY 192 E
London, KY 40741
(606) 330-0050
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1447807045
803 MEYERS BAKER RD STE 200
London, KY 40741
(606) 878-3240
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1487144259
94 DOGPATCH TRADING CTR
London, KY 40741
(606) 877-1352
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1063611564
1001 SAINT JOSEPH LN
London, KY 40741
(606) 330-6533
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1902446941
300 CROWN POINT EST
London, KY 40741
(606) 594-8369
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1528430907
73 THOMPSON POYNTER RD SUITE A
London, KY 40741
(606) 877-1446
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1962867325
73 THOMPSON POYNTER RD STE A
London, KY 40741
(606) 877-1446
✔ PECOS✔ Accepts Medicare3.5 mi
Geriatric Medicine
NPI 1730135138
73 THOMPSON POYNTER ROAD SUITE A
London, KY 40741
(606) 877-1446
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1063723450
2659 NORTH LAUREL ROAD
East Bernstadt, KY 40729
(606) 843-6195
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1275379976
154 JORDAN AVE
London, KY 40744
(606) 627-3718
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1770248452
4011 SOMERSET RD
London, KY 40741
(606) 682-4347
✔ PECOS✔ Accepts Medicare7.0 mi
Mental Health Counselor
NPI 1649432519
1203 AMERICAN GREETING CARD RD
Corbin, KY 40701
(606) 528-7010
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1821439746
39 CUMBERLAND GAP PLZ
Gray, KY 40734
(606) 526-9005
✔ PECOS✔ Accepts Medicare14 mi
Hospitalist
NPI 1831414341
2 TRILLIUM WAY SUITE 306
Corbin, KY 40701
(606) 526-4070
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1417994070
2 TRILLIUM WAY SUITE 306
Corbin, KY 40701
(606) 526-4070
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1326122904
65 GLENDALE DRIVE SUITE 1
Manchester, KY 40962
(606) 599-2508
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1720510837
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-6800
✔ PECOS17 mi
See all 123 clinicians

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 18D0934788

Adventhealth London Parkway Clinic · London, KY
Active · expires Aug 28, 2028
CLIA Number18D0934788
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 29, 2026
Certificate Expiration DateAugust 28, 2028
Laboratory DirectorDr. Jackie Maxey
Laboratory Phone(606) 878-9611
Laboratory LocationAdventhealth London Parkway Clinic102 Professional Drive, Suite 2, London, KY 40741
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 Memorial Hospital Inc's NPI number?

The NPI number for Memorial Hospital Inc is 1477184968. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider is doing business as Adventhealth London Parkway Clinic.

Where is Memorial Hospital Inc located?

Memorial Hospital Inc is located at 102 Professional Dr Ste 2, London, KY 40741. The listed phone number is (606) 878-9611.

What is Memorial Hospital Inc's specialty?

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

Is Memorial Hospital Inc enrolled in Medicare?

Yes. Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 24 Medicare specialties reassign their Medicare billing to Memorial Hospital Inc. 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 (59), Internal Medicine (10) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0934788) is associated with this NPI, valid through August 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Memorial Hospital Inc 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 Memorial Hospital Inc was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.