LOGAN PHYSICIAN PRACTICE LLC
NPI 1649203043
Family Medicine in Russellville, KY

NPI Status: Active since July 09, 2006

Contact Information

975 HOPKINSVILLE RD
RUSSELLVILLE, KY
ZIP 42276
Phone: (270) 726-2738

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine

About LOGAN PHYSICIAN PRACTICE LLC

This page provides the complete NPI Profile along with additional information for Logan Physician Practice Llc, a primary care provider established in Russellville, Kentucky operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1649203043 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Logan Physician Practice Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kathy Teague (Vp, Corporate Secretary)

NPI: 1649203043
Provider Name: LOGAN PHYSICIAN PRACTICE LLC
Entity Type: Organization
Location Address: 975 HOPKINSVILLE RD RUSSELLVILLE, KY 42276
Location Phone: (270) 726-2738
Mailing Address: 113 SEABOARD LN STE 201B FRANKLIN, TN 37067
Mailing Phone: (629) 253-5121
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-09-2006
Last Update Date: 04-13-2023
Code Navigator

A primary care provider (PCP) like Logan Physician Practice Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine
2	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine Pulmonary Disease
3	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery
4	208000000X	Allopathic & Osteopathic Physicians	Pediatrics
5	208600000X	Allopathic & Osteopathic Physicians	Surgery
6	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant
7	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner
8	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: KATHY TEAGUE
Authorized Official Title: VP, CORPORATE SECRETARY
Authorized Official Phone: (629) 253-5121

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
65935777	MEDICAID (05)	KY

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	4	9	2	0	3	0	4	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	8	9	4	0	6	0	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 0 + 6 + 0 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1649203043 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.