DEACONESS CLINIC, INC.
NPI 1942032610
Family Medicine in Philpot, KY

Active since August 20, 2024CLIA 18D2126211 · Waiver
6071 HIGHWAY 54, PHILPOT, KY 42366(270) 713-0177(270) 713-0185 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Aug 20, 2024 (2 updates tracked since 2024).

About Deaconess Clinic, Inc. NPPES

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

DEACONESS CLINIC, INC. (NPI 1942032610), doing business as Deaconess Clinic - Philpot, is a healthcare organization registered as a family medicine in Philpot, Kentucky and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1942032610
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address6071 HIGHWAY 54Philpot, KY 42366-9642
Mailing AddressPo Box 631767Cincinnati, OH 45263-1767 · (812) 450-6815 · Fax (812) 450-6822
Fax(270) 713-0185
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateAugust 20, 2024
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1942032610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
6071 HIGHWAY 54, Philpot, KY 42366

Other Names 1

Doing Business AsDeaconess Clinic - Philpot

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 18D2126211

Deaconess Clinic Philpot · Philpot, KY
Active · expires Feb 21, 2027
CLIA Number18D2126211
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorMs. Linda Boarman
Laboratory Phone(270) 713-0177
Laboratory LocationDeaconess Clinic Philpot6071 Ky- 54, Philpot, KY 42366
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
6071 HIGHWAY 54
PHILPOT, KY 42366
Nurse Practitioner (Family)
6071 HIGHWAY 54
PHILPOT, KY 42366
Nurse Practitioner (Family)
6071 HIGHWAY 54
PHILPOT, KY 42366

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 Deaconess Clinic, Inc.'s NPI number?

The NPI number for Deaconess Clinic, Inc. is 1942032610. It was assigned to this organization in the NPPES registry on August 20, 2024. The provider is doing business as Deaconess Clinic - Philpot.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 6071 Highway 54, Philpot, KY 42366. The listed phone number is (270) 713-0177.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Deaconess Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2126211) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Clinic, 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 Deaconess Clinic, Inc. was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.