T J HEALTH EDMONTON
NPI 1831555358
Clinic/Center - Rural Health in Edmonton, KY

Active since January 13, 2016
1704 W STOCKTON ST, EDMONTON, KY 42129(270) 432-4800(270) 432-4804 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 3 more (6 updates tracked since 2016).

About T J Health Edmonton NPPES

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

T J HEALTH EDMONTON (NPI 1831555358) is a healthcare organization registered as a rural health in Edmonton, Kentucky and active in the NPI registry since January 2016. The organization lists Neil Thornbury, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831555358
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameT J HEALTH COLUMBIA INC
Location Address1704 W STOCKTON STEdmonton, KY 42129-8137
Mailing AddressPo Box 654996Cincinnati, OH 45264-0001 · (270) 651-4444 · Fax (270) 651-4892
Fax(270) 432-4804
Organization SubpartYesParent: T J Regional Health Inc
Authorized OfficialNeil ThornburyCeo · (270) 651-4159
Enumeration DateJanuary 13, 2016
Last NPPES UpdateMarch 30, 20236 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1831555358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1704 W STOCKTON ST, Edmonton, KY 42129

Other Names 1

Doing Business AsT J Health Edmonton

Other Identifiers 1

Medicaid7100422700KY

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 Edmonton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to T J Health Edmonton, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1205560752
1704 W STOCKTON ST
Edmonton, KY 42129
(270) 432-4800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558654806
1704 W STOCKTON ST
Edmonton, KY 42129
(270) 432-4800
✔ PECOSSame address
Nurse Practitioner
NPI 1508836487
1704 W STOCKTON ST
Edmonton, KY 42129
(270) 432-4800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710505912
1704 W STOCKTON ST
Edmonton, KY 42129
(270) 432-4800
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1225278146
104 REYNOLDS RD
Glasgow, KY 42141
(270) 678-4801
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1114700697
810 JAMESTOWN ST
Columbia, KY 42728
(270) 384-4764
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1447437116
810 JAMESTOWN ST
Columbia, KY 42728
(270) 384-4764
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1558036384
902 WELLNESS WAY
Columbia, KY 42728
(270) 384-0451
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1629698485
542 STEVE DR
Russell Springs, KY 42642
(270) 858-3636
✔ PECOS✔ Accepts Medicare31 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 18D1002314

T J Health Edmonton · Edmonton, KY
Expired · Oct 9, 2026
CLIA Number18D1002314
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorDr. Ashley Matney
Laboratory Phone(270) 432-4800
Laboratory LocationT J Health Edmonton1704 West Stockton Street, Edmonton, KY 42129
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 1831555358. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is doing business as T J Health Edmonton.

Where is T J Health Columbia Inc located?

T J Health Columbia Inc is located at 1704 W Stockton St, Edmonton, KY 42129. The listed phone number is (270) 432-4800.

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), 9 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 (6), Clinical Social Worker (1) and Family Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.