LOGAN FAMILY PRACTICE LLC
NPI 1699447169
Clinic/Center - Rural Health in Russellville, KY
About Logan Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN FAMILY PRACTICE LLC (NPI 1699447169) is a healthcare organization registered as a rural health in Russellville, Kentucky and active in the NPI registry since October 2021. The organization lists Johnetta Traylor, Ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Logan Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Logan Family Practice LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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 Logan Family Practice LLC's NPI number?
The NPI number for Logan Family Practice LLC is 1699447169. It was assigned to this organization in the NPPES registry on October 1, 2021.
Where is Logan Family Practice LLC located?
Logan Family Practice LLC is located at 1719 Nashville St Ste C, Russellville, KY 42276. The listed phone number is (270) 726-7664.
What is Logan Family Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Logan Family Practice LLC enrolled in Medicare?
Yes. Logan Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Logan Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Logan Family Practice LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Logan Family Practice LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Logan Family Practice Llc · NPI 1699447169
Rural Health organization in Russellville, Kentucky. Organization record, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1699447169 (Entity type: Organization)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Johnetta Traylor, AO
## Practice location
- **Address:** 1719 NASHVILLE ST STE C, Russellville, KY 42276-7804
- **Phone:** (270) 726-7664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699447169) · Data from the CMS NPPES public registry.