T J HEALTH RUSSELL SPRINGS
NPI 1821454349
Clinic/Center - Rural Health in Russell Springs, KY

Active since January 13, 2016CLIA 18D0979482 · Waiver
542 STEVE DR, RUSSELL SPRINGS, KY 42642(270) 858-3636(270) 858-3660 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2023, Nov 10, 2022, Apr 19, 2021 and 6 more (9 updates tracked since 2016).

About T J Health Russell Springs NPPES

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

T J HEALTH RUSSELL SPRINGS (NPI 1821454349) is a healthcare organization registered as a rural health in Russell Springs, Kentucky and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Neil Thornbury, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821454349
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameT J HEALTH COLUMBIA INC
Location Address542 STEVE DRRussell Springs, KY 42642-4601
Mailing AddressPo Box 645996Cincinnati, OH 45264-5996 · (270) 651-4444 · Fax (270) 651-4892
Fax(270) 858-3660
Organization SubpartYesParent: T J Regional Health Inc
Authorized OfficialNeil ThornburyCeo · (270) 651-4159
Enumeration DateJanuary 13, 2016
Last NPPES UpdateMarch 30, 20239 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1821454349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
542 STEVE DR, Russell Springs, KY 42642

Other Names 1

Doing Business AsT J Health Russell Springs

Other Identifiers 1

Medicaid7100437340KY

Accepted 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)

T J Health Russell Springs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to T J Health Russell Springs, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Orthopedic Surgery3
Family Practice1
Neurology1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1629698485
542 STEVE DR
Russell Springs, KY 42642
(270) 858-3636
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1558036384
902 WELLNESS WAY
Columbia, KY 42728
(270) 384-0451
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1699090514
901 WELLNESS WAY
Columbia, KY 42728
(270) 384-4753
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1447437116
810 JAMESTOWN ST
Columbia, KY 42728
(270) 384-4764
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1508522889
197 WILL WALKER ROAD
Columbia, KY 42728
(270) 384-9981
✔ PECOS✔ Accepts Medicare15 mi
Orthopedic Surgery
NPI 1578635074
106 COLUMNS PLAZA DR
Glasgow, KY 42141
(270) 651-9390
✔ PECOS✔ Accepts Medicare46 mi
Orthopedic Surgery
NPI 1821159849
106 COLUMNS PLAZA DR
Glasgow, KY 42141
(270) 651-9390
✔ PECOS✔ Accepts Medicare48 mi
Orthopedic Surgery
NPI 1407859630
106 COLUMNS PLAZA DR
Glasgow, KY 42141
(270) 651-9390
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1124591318
106 COLUMNS PLAZA DR
Glasgow, KY 42141
(270) 651-9390
✔ PECOS✔ Accepts Medicare48 mi
Neurology
NPI 1437477593
3290 N RIDGE RD STE 240
Ellicott City, MD 21043
(410) 730-6911
✔ PECOS474 mi

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

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 18D0979482

T J Health Russell Springs · Russell Springs, KY
Active · expires Dec 5, 2027
CLIA Number18D0979482
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorDr. Clinton Kiteck
Laboratory Phone(270) 858-3636
Laboratory LocationT J Health Russell Springs542 Steve Drive, Russell Springs, KY 42642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 T J Health Columbia Inc's NPI number?

The NPI number for T J Health Columbia Inc is 1821454349. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is doing business as T J Health Russell Springs.

Where is T J Health Columbia Inc located?

T J Health Columbia Inc is located at 542 Steve Dr, Russell Springs, KY 42642. The listed phone number is (270) 858-3636.

What is T J Health Columbia Inc's specialty?

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

Is T J Health Columbia Inc enrolled in Medicare?

Yes. T J Health Columbia Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through T J Health Columbia Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to T J Health Columbia 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 (5), Orthopedic Surgery (3) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does T J Health Columbia Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0979482) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does T J Health Columbia Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list T J Health Columbia 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 T J Health Columbia Inc was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.