DEACONESS CLINIC, INC.
NPI 1942032610
Family Medicine in Philpot, KY
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
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Deaconess Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
174Medicare enrollment records show 174 clinicians reassign Medicare billing to Deaconess Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 174Source: 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 18D2126211
Deaconess Clinic Philpot · Philpot, KYFrequently 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.
Is Deaconess Clinic, Inc. enrolled in Medicare?
Yes. Deaconess Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 174 clinicians in 16 Medicare specialties reassign their Medicare billing to Deaconess Clinic, 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 (102), Family Practice (28) and Internal Medicine (7). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11 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.
# Deaconess Clinic, Inc. · NPI 1942032610
Family Medicine organization in Philpot, Kentucky. Organization record, active in the CMS NPPES registry since August 20, 2024.
## Identity
- **NPI:** 1942032610 (Entity type: Organization)
- **Enumerated:** August 20, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Deaconess Clinic - Philpot (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 6071 HIGHWAY 54, Philpot, KY 42366-9642
- **Phone:** (270) 713-0177 · **Fax:** (270) 713-0185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 174 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (102), Family Practice (28), Internal Medicine (7); 1 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1942032610/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942032610) · Data from the CMS NPPES public registry.