PINE MOUNTAIN EMERGENCY GROUP LIMITED LIABILITY COMPANY
NPI 1568010064
Emergency Medicine in Harlan, KY
About Pine Mountain Emergency Group Limited Liability Company NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE MOUNTAIN EMERGENCY GROUP LIMITED LIABILITY COMPANY (NPI 1568010064) is a healthcare organization registered as an emergency medicine in Harlan, Kentucky and active in the NPI registry since August 2019. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Pine Mountain Emergency Group Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Pine Mountain Emergency Group Limited Liability Company, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 35Source: 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 Pine Mountain Emergency Group Limited Liability Company's NPI number?
The NPI number for Pine Mountain Emergency Group Limited Liability Company is 1568010064. It was assigned to this organization in the NPPES registry on August 28, 2019.
Where is Pine Mountain Emergency Group Limited Liability Company located?
Pine Mountain Emergency Group Limited Liability Company is located at 81 Ball Park Rd, Harlan, KY 40831. The listed phone number is (606) 573-8100.
What is Pine Mountain Emergency Group Limited Liability Company's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Pine Mountain Emergency Group Limited Liability Company enrolled in Medicare?
Yes. Pine Mountain Emergency Group Limited Liability Company is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Mountain Emergency Group Limited Liability Company?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 6 Medicare specialties reassign their Medicare billing to Pine Mountain Emergency Group Limited Liability Company. 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 Emergency Medicine (18), Nurse Practitioner (6) and Internal Medicine (5). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pine Mountain Emergency Group Limited Liability Company accept?
Health plans from Anthem Blue Cross and Blue Shield list Pine Mountain Emergency Group Limited Liability Company 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 Pine Mountain Emergency Group Limited Liability Company was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pine Mountain Emergency Group Limited Liability Company · NPI 1568010064
Emergency Medicine organization in Harlan, Kentucky. Organization record, active in the CMS NPPES registry since August 28, 2019.
## Identity
- **NPI:** 1568010064 (Entity type: Organization)
- **Enumerated:** August 28, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VP OF CONTRACTING
## Practice location
- **Address:** 81 BALL PARK RD, Harlan, KY 40831-1701
- **Phone:** (606) 573-8100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (18), Nurse Practitioner (6), Internal Medicine (5); 5 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1568010064/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid K317050 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1568010064) · Data from the CMS NPPES public registry.