ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON
NPI 1578090403
Clinic/Center - Rural Health in Somerset, KY

Q: What is Advanced Family Medical Clinic Mount Vernon's specialty?

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

Active since May 23, 2017CLIA 18D2132041 · Waiver

79 SARAHS LN, SOMERSET, KY 42503(606) 687-9017(606) 655-1030 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2026, Feb 27, 2020, Mar 7, 2018 and 4 more (7 updates tracked since 2017).

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About Advanced Family Medical Clinic Mount Vernon NPPES

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

ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON (NPI 1578090403), doing business as Advanced Family Medical Clinic, is a healthcare organization registered as a rural health in Somerset, Kentucky and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Khursheed Akram Siddiqui, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578090403

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON

Location Address79 SARAHS LNSomerset, KY 42503-2789

Mailing AddressPo Box 2369Danville, KY 40423-2369 · (606) 392-2060 · Fax (606) 655-1030

Phone(606) 687-9017

Fax(606) 655-1030

Organization SubpartNo

Authorized OfficialKhursheed Akram SiddiquiMedical Director · (859) 691-0201

Enumeration DateMay 23, 2017

Last NPPES UpdateJanuary 16, 20267 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1578090403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 28741 (KY)

79 SARAHS LN, Somerset, KY 42503

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Other Names 1

Doing Business AsAdvanced Family Medical Clinic

Other Identifiers 1

Medicaid7100503150KY

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 18D2132041

Advanced Family Medical Clinic Mt Vernon Dba Advanced Family Medical Clinic · Somerset, KY

Active · expires Jun 11, 2027

CLIA Number18D2132041

Laboratory TypeRural Health Clinic

Certificate Effective DateJune 12, 2025

Certificate Expiration DateJune 11, 2027

Laboratory DirectorKhursheed A. Siddiqui

Laboratory Phone(606) 392-2060

Laboratory LocationAdvanced Family Medical Clinic Mt Vernon Dba Advanced Family Medical Clinic79 Sarahs Lane, Somerset, KY 42503

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICKY L FARMER DMD

Dentist

79 SARAHS LN
SOMERSET, KY 42503

Pulaski County (606) 677-0505

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 Advanced Family Medical Clinic Mount Vernon's NPI number?

The NPI number for Advanced Family Medical Clinic Mount Vernon is 1578090403. It was assigned to this organization in the NPPES registry on May 23, 2017. The provider is doing business as Advanced Family Medical Clinic.

Where is Advanced Family Medical Clinic Mount Vernon located?

Advanced Family Medical Clinic Mount Vernon is located at 79 Sarahs Ln, Somerset, KY 42503. The listed phone number is (606) 687-9017.

What is Advanced Family Medical Clinic Mount Vernon's specialty?

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

Does Advanced Family Medical Clinic Mount Vernon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2132041) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Family Medical Clinic Mount Vernon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Advanced Family Medical Clinic Mount Vernon 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 Advanced Family Medical Clinic Mount Vernon was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.