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MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC
NPI 1689919078
Clinic/Center - Rural Health in Manchester, KY

Active since December 11, 2012CLIA Certified · 2 labs
108 MANCHESTER SQ SHOPPING CENTER, MANCHESTER, KY 40962(606) 596-0701(606) 596-0703 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mountain Family Practice Clinic Of Manchester Inc NPPES

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

MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC (NPI 1689919078) is a healthcare organization registered as a rural health in Manchester, Kentucky and active in the NPI registry since December 2012. The organization holds 2 active CLIA laboratory certificates and lists Kim B Cox, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1689919078
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC
Location Address108 MANCHESTER SQ SHOPPING CENTERManchester, KY 40962-7289
Mailing AddressPo Box 267Richmond, KY 40476-0267 · (606) 596-0701 · Fax (606) 596-0703
Phone(606) 596-0701
Fax(606) 596-0703
Organization SubpartNo
Authorized OfficialKim B CoxOwner/operator · (859) 358-4222
Enumeration DateDecember 11, 2012
Last NPPES UpdateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1689919078 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
108 MANCHESTER SQ SHOPPING CENTER, Manchester, KY 40962
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100299490KY
Medicaid7100257320KY

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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

Mountain Family Practice Clinic Of Manchester Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

42

Medicare enrollment records show 42 clinicians reassign Medicare billing to Mountain Family Practice Clinic Of Manchester Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner33
Mental Health Counselor4
Clinical Social Worker2
Chiropractic1
Internal Medicine1
Urology1

Nearest to this location (20)

See all 42
Autumn Bowling
Nurse Practitioner
NPI 1437941390
108 MANCHESTER SHOPPING CTR
Manchester, KY 40962
(606) 658-6333
✔ PECOS✔ Accepts MedicareSame address
Gibb Mills, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1649137878
108 MANCHESTER SHOPPING CTR
Manchester, KY 40962
(606) 653-6333
✔ PECOS✔ Accepts MedicareSame address
Rebecca Roberts, APRN
Nurse Practitioner
NPI 1285072751
86 HIGHWAY 638 SUITE 1
Manchester, KY 40962
(606) 596-0701
✔ PECOS✔ Accepts Medicare0.1 mi
Karen Cheek, A.P.R.N.
Nurse Practitioner
NPI 1316052442
90 GARRARD SQ
Manchester, KY 40962
(606) 658-6333
✔ PECOS✔ Accepts Medicare0.6 mi
Reva Hacker, LPCC
Mental Health Counselor
NPI 1184935348
86 HIGHWAY 638 STE 1
Manchester, KY 40962
(606) 598-0070
✔ PECOS3.1 mi
Jessica Brock, APRN
Nurse Practitioner
NPI 1295148914
148 COMMERCIAL DR
London, KY 40744
(606) 260-8532
✔ PECOS✔ Accepts Medicare17 mi
Pinkesh Patel, D.C.
Chiropractic
NPI 1366591737
302 FALLS ST SUITE A
London, KY 40741
(606) 878-9300
✔ Accepts Medicare19 mi
Loryn Cheek
Nurse Practitioner
NPI 1235816810
73 THOMPSON POYNTER RD STE A
London, KY 40741
(606) 657-5912
✔ PECOS✔ Accepts Medicare19 mi
Kim Cox, APRN
Nurse Practitioner
NPI 1326131434
200 MULBERRY STREET SUITE A
Booneville, KY 41314
(606) 596-0701
✔ PECOS✔ Accepts Medicare22 mi
Joanne Combs
Nurse Practitioner
NPI 1932652096
200 MULBERRY ST STE A
Booneville, KY 41314
(606) 593-6023
✔ PECOS✔ Accepts Medicare22 mi
Johnna Gay, PMHNP
Nurse Practitioner
NPI 1528882636
200 MULBERRY ST STE A
Booneville, KY 41314
(606) 593-6023
✔ PECOS✔ Accepts Medicare22 mi
Angel Birch, LPCC
Mental Health Counselor
NPI 1124826003
200 MULBERRY ST STE A
Booneville, KY 41314
(606) 593-6023
✔ PECOS✔ Accepts Medicare22 mi
Kristina Byrd, APRN, FNP-C
Nurse Practitioner
NPI 1326498338
200 MULBERRY ST
Booneville, KY 41314
(606) 593-6023
✔ PECOS✔ Accepts Medicare22 mi
Hany Oghia, MD
Urology
NPI 1528067733
200 MEDICAL CENTER DR
Hazard, KY 41701
(606) 487-7510
✔ PECOS✔ Accepts Medicare31 mi
Brittany Morgan, APRN
Nurse Practitioner
NPI 1366076150
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare31 mi
April Bennett
Mental Health Counselor
NPI 1689929358
115 ROCKWOOD LN
Hazard, KY 41701
(606) 436-5761
✔ PECOS✔ Accepts Medicare31 mi
Brittany Gibson, APRN
Nurse Practitioner
NPI 1336891910
210 BLACK GOLD BLVD STE 106
Hazard, KY 41701
(606) 436-0711
✔ PECOS✔ Accepts Medicare33 mi
Jessica Briggs, LCSW
Clinical Social Worker
NPI 1558982140
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare65 mi
Joel Stephenson, M.D.
Internal Medicine
NPI 1356436372
1101 VETERANS DR
Lexington, KY 40502
(859) 233-4511
✔ PECOS✔ Accepts Medicare72 mi
Clara Mitchell
Clinical Social Worker
NPI 1578032520
2250 LEESTOWN RD
Lexington, KY 40511
(859) 233-4511
✔ PECOS✔ Accepts Medicare76 mi
See all 42 clinicians

Source: 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 2

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 18D2058342

Mountain Family Practice Clinic Of Manchester, Inc · Manchester, KY
Active · expires May 5, 2027
CLIA Number18D2058342
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorMs. Kim B. Cox
Laboratory Phone(606) 596-0701
Laboratory LocationMountain Family Practice Clinic Of Manchester, Inc108 Manchester Shopping Center, Manchester, KY 40962
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 18D2279012

Mountain Family Practice Clinic Of Manchester · Manchester, KY
Active · expires Mar 18, 2028
CLIA Number18D2279012
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDr. Joel Stephenson
Laboratory Phone(606) 658-6333
Laboratory LocationMountain Family Practice Clinic Of Manchester108 Manchester Shopping Center, Manchester, KY 40962
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Mountain Family Practice Clinic Of Manchester Inc's NPI number?

The NPI number for Mountain Family Practice Clinic Of Manchester Inc is 1689919078. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Mountain Family Practice Clinic Of Manchester Inc located?

Mountain Family Practice Clinic Of Manchester Inc is located at 108 Manchester Sq Shopping Center, Manchester, KY 40962. The listed phone number is (606) 596-0701.

What is Mountain Family Practice Clinic Of Manchester Inc's specialty?

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

Is Mountain Family Practice Clinic Of Manchester Inc enrolled in Medicare?

Yes. Mountain Family Practice Clinic Of Manchester Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Family Practice Clinic Of Manchester Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 6 Medicare specialties reassign their Medicare billing to Mountain Family Practice Clinic Of Manchester 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 (33), Mental Health Counselor (4) and Clinical Social Worker (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain Family Practice Clinic Of Manchester Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mountain Family Practice Clinic Of Manchester Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mountain Family Practice Clinic Of Manchester 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 Mountain Family Practice Clinic Of Manchester Inc was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.