BIG SANDY HEALTH CARE INC
NPI 1700828597
Clinic/Center - Federally Qualified Health Center (FQHC) in Pikeville, KY
About Big Sandy Health Care Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIG SANDY HEALTH CARE INC (NPI 1700828597), doing business as Shelby Valley Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Pikeville, Kentucky and active in the NPI registry since June 2006. The organization lists James Herald, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Big Sandy Health Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Big Sandy Health Care Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 70Pikeville, KY 41501
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 Big Sandy Health Care Inc's NPI number?
The NPI number for Big Sandy Health Care Inc is 1700828597. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Shelby Valley Clinic.
Where is Big Sandy Health Care Inc located?
Big Sandy Health Care Inc is located at 178 Douglas Pkwy Shelby Valley Clinic, Pikeville, KY 41501. The listed phone number is (606) 639-3135.
What is Big Sandy Health Care Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Big Sandy Health Care Inc enrolled in Medicare?
Yes. Big Sandy Health Care Inc is registered in the Medicare PECOS enrollment system.
When is Big Sandy Health Care Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. 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 Big Sandy Health Care Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 11 Medicare specialties reassign their Medicare billing to Big Sandy Health Care 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 (24), Family Practice (13) and Optometry (12). Of these, 7 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Big Sandy Health Care Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Big Sandy Health Care 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 Big Sandy Health Care Inc was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Big Sandy Health Care Inc · NPI 1700828597
Federally Qualified Health Center (FQHC) organization in Pikeville, Kentucky. Organization record, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1700828597 (Entity type: Organization)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Shelby Valley Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** James Herald, CEO
## Practice location
- **Address:** 178 DOUGLAS PKWY, SHELBY VALLEY CLINIC, Pikeville, KY 41501-6970
- **Phone:** (606) 639-3135 · **Fax:** (888) 854-5336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, Kentucky, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 70 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Family Practice (13), Optometry (12); 7 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1700828597/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2025
- **Other identifiers:** Medicaid 31000417 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1700828597) · Data from the CMS NPPES public registry.