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RUSSELL FORK WALK-IN CLINIC
NPI 1528484037
Clinic/Center in Elkhorn City, KY

Active since March 07, 2014
17401 KY HIGHWAY 80 E, ELKHORN CITY, KY 41522(606) 754-7100(606) 754-0770 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Russell Fork Walk-in Clinic NPPES

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

RUSSELL FORK WALK-IN CLINIC (NPI 1528484037) is a healthcare organization registered as a clinic/center in Elkhorn City, Kentucky and active in the NPI registry since March 2014. The organization lists Nichol Burchfield, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1528484037
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPECIALTY PHYSICIAN ASSISTANT,LLC
Location Address17401 KY HIGHWAY 80 EElkhorn City, KY 41522-8226
Mailing AddressPo Box 2122Pikeville, KY 41502-2122 · (606) 754-7100 · Fax (606) 754-0770
Phone(606) 754-7100
Fax(606) 754-0770
Organization SubpartNo
Authorized OfficialNichol BurchfieldOwner/member · (606) 422-4764
Enumeration DateMarch 7, 2014
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1528484037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
17401 KY HIGHWAY 80 E, Elkhorn City, KY 41522
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Other Names 1

Doing Business AsRussell Fork Walk-in Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Russell Fork Walk-in Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Russell Fork Walk-In Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Hager, D.O.
Family Practice
NPI 1386617322
255 CHURCH ST STE 101
Pikeville, KY 41501
(606) 218-6011
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Specialty Physician Assistant,llc's NPI number?

The NPI number for Specialty Physician Assistant,llc is 1528484037. It was assigned to this organization in the NPPES registry on March 7, 2014. The provider is doing business as Russell Fork Walk-In Clinic.

Where is Specialty Physician Assistant,llc located?

Specialty Physician Assistant,llc is located at 17401 Ky Highway 80 E, Elkhorn City, KY 41522. The listed phone number is (606) 754-7100.

What is Specialty Physician Assistant,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Specialty Physician Assistant,llc enrolled in Medicare?

Yes. Specialty Physician Assistant,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Physician Assistant,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Specialty Physician Assistant,llc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Specialty Physician Assistant,llc accept?

Health plans from Anthem Blue Cross and Blue Shield list Specialty Physician Assistant,llc 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 Specialty Physician Assistant,llc was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.