AARON JONAN MEMORIAL CLINIC
NPI 1477569226
Clinic/Center - Rural Health in Jackson, KY
About Aaron Jonan Memorial Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AARON JONAN MEMORIAL CLINIC (NPI 1477569226) is a healthcare organization registered as a rural health in Jackson, Kentucky and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Djien So, Administrator/access Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 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)
Aaron Jonan Memorial Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Aaron Jonan Memorial Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
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 18D0862338
Aaron K Jonan Memorial Clinic · Jackson, 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 Aaron K. Jonan Memorial Clinic Inc.'s NPI number?
The NPI number for Aaron K. Jonan Memorial Clinic Inc. is 1477569226. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Aaron Jonan Memorial Clinic.
Where is Aaron K. Jonan Memorial Clinic Inc. located?
Aaron K. Jonan Memorial Clinic Inc. is located at 832 Highway 15 N, Jackson, KY 41339. The listed phone number is (606) 666-5142.
What is Aaron K. Jonan Memorial Clinic Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Aaron K. Jonan Memorial Clinic Inc. enrolled in Medicare?
Yes. Aaron K. Jonan Memorial Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aaron K. Jonan Memorial Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Aaron K. Jonan Memorial Clinic 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 (11), Clinical Social Worker (2) and Mental Health Counselor (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Aaron K. Jonan Memorial Clinic Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0862338) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Aaron K. Jonan Memorial Clinic Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Aaron K. Jonan Memorial Clinic 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 Aaron K. Jonan Memorial Clinic Inc. was last updated on May 9, 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.
# Aaron Jonan Memorial Clinic · NPI 1477569226
Rural Health organization in Jackson, Kentucky. Organization record, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1477569226 (Entity type: Organization)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Aaron K. Jonan Memorial Clinic Inc.
- **Organization subpart:** No
- **Authorized official:** Djien So, ADMINISTRATOR/ACCESS MANAGER
## Practice location
- **Address:** 832 HIGHWAY 15 N, Jackson, KY 41339-8284
- **Phone:** (606) 666-5142 · **Fax:** (606) 666-4172
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Clinical Social Worker (2), Mental Health Counselor (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2023
- **Other identifiers:** Medicaid 7100336880 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477569226) · Data from the CMS NPPES public registry.