KINGS DAUGHTERS MEDICAL SPECIALTIES PRIMARY CARE
NPI 1669791323
Family Medicine in Ashland, KY
About Kings Daughters Medical Specialties Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGS DAUGHTERS MEDICAL SPECIALTIES PRIMARY CARE (NPI 1669791323) is a healthcare organization registered as a family medicine in Ashland, Kentucky and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2028, maintains 4 additional practice locations, and lists Kristie M Whitlatch, Ceo/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Secondary Practice Locations 4
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kings Daughters Medical Specialties Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
594Medicare enrollment records show 594 clinicians reassign Medicare billing to Kings Daughters Medical Specialties Primary Care, which bills Medicare for the services they deliver. Of these, 100 practice at this address and 343 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 594Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 36D0678074
Kings Daughters Medical Specialties Dr David Provaznik Do · Wheelersburg, OHFrequently 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 Kings Daughters Medical Specialties Inc's NPI number?
The NPI number for Kings Daughters Medical Specialties Inc is 1669791323. It was assigned to this organization in the NPPES registry on May 20, 2010. The provider is doing business as Kings Daughters Medical Specialties Primary Care.
Where is Kings Daughters Medical Specialties Inc located?
Kings Daughters Medical Specialties Inc is located at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.
What is Kings Daughters Medical Specialties Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kings Daughters Medical Specialties Inc enrolled in Medicare?
Yes. Kings Daughters Medical Specialties Inc is registered in the Medicare PECOS enrollment system.
When is Kings Daughters Medical Specialties Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kings Daughters Medical Specialties Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 594 clinicians in 47 Medicare specialties reassign their Medicare billing to Kings Daughters Medical Specialties Inc. 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 Nurse Practitioner (165), Certified Registered Nurse Anesthetist (CRNA) (76) and Anesthesiology (39). Of these, 100 practice at this address and 343 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kings Daughters Medical Specialties Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0678074) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kings Daughters Medical Specialties Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Kings Daughters Medical Specialties Inc 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 Kings Daughters Medical Specialties Inc was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kings Daughters Medical Specialties Primary Care · NPI 1669791323
Family Medicine organization in Ashland, Kentucky. Organization record, active in the CMS NPPES registry since May 20, 2010.
## Identity
- **NPI:** 1669791323 (Entity type: Organization)
- **Enumerated:** May 20, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Kings Daughters Medical Specialties Inc
- **Organization subpart:** No
- **Authorized official:** Kristie Whitlatch, CEO/PRESIDENT
## Practice location
- **Address:** 2201 LEXINGTON AVE, Ashland, KY 41101-2843
- **Phone:** (606) 408-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 594 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (165), Certified Registered Nurse Anesthetist (CRNA) (76), Anesthesiology (39); 100 practice at this address and 343 within 10 miles; [full list](https://npiprofile.com/npi/1669791323/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2020
- **Other identifiers:** Medicaid 3810016581 (WV); Medicaid 3053556 (OH); Medicaid 7100180750 (KY); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669791323) · Data from the CMS NPPES public registry.