SOUTH SHORE FAMILY MEDICAL CLINIC
NPI 1497232722
Nurse Practitioner - Family in South Shore, KY

Active since July 19, 2018
74 BIGGS LN, SOUTH SHORE, KY 41175(606) 498-4232 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Family Medical Clinic NPPES

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

SOUTH SHORE FAMILY MEDICAL CLINIC (NPI 1497232722) is a healthcare organization registered as a family in South Shore, Kentucky and active in the NPI registry since July 2018. The organization lists James Lee Ryan, Fnp, as its authorized official.

NPPES Registry Identity

NPI1497232722
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTH SHORE FAMILY MEDICAL CLINIC
Location Address74 BIGGS LNSouth Shore, KY 41175-7846
Mailing Address37 Christopher DrSouth Shore, KY 41175-9447 · (594) 210-4458
Organization SubpartNo
Authorized OfficialJames Lee RyanFnp · (606) 498-4232
Enumeration DateJuly 19, 2018
NPI 1497232722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3006463
74 BIGGS LN, South Shore, KY 41175

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 South Shore Family Medical Clinic's NPI number?

The NPI number for South Shore Family Medical Clinic is 1497232722. It was assigned to this organization in the NPPES registry on July 19, 2018.

Where is South Shore Family Medical Clinic located?

South Shore Family Medical Clinic is located at 74 Biggs Ln, South Shore, KY 41175. The listed phone number is (606) 498-4232.

What is South Shore Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for South Shore Family Medical Clinic was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.