PRESTONSBURG PRIMARY CARE PLLC
NPI 1942554068
Family Medicine in Prestonsburg, KY

NPI Status: Active since October 29, 2012

Contact Information

535 N LAKE DR
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 886-8466
Fax: (606) 886-0250

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  • Organization
  • Family Medicine
  • CLIA Number: 18D2170198
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-05-2027

About PRESTONSBURG PRIMARY CARE PLLC

This page provides the complete NPI Profile along with additional information for Prestonsburg Primary Care Pllc, a primary care provider established in Prestonsburg, Kentucky operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1942554068 assigned on October 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Blake R Burchett Md (Member)

NPI
1942554068
Provider Name
PRESTONSBURG PRIMARY CARE PLLC
Entity Type
Organization
Location Address
535 N LAKE DR PRESTONSBURG, KY 41653
Location Phone
(606) 886-8466
Location Fax
(606) 886-0250
Mailing Address
535 N LAKE DR PRESTONSBURG, KY 41653
Mailing Phone
(606) 886-8466
Mailing Fax
(606) 886-0250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2012
Last Update Date
05-05-2015
Code Navigator

A primary care provider (PCP) like Prestonsburg Primary Care Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
KY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

(KY)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BLAKE R BURCHETT MD

Authorized Official Title
MEMBER
Authorized Official Phone
(606) 886-8466

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K068190OTHER (01)KYMEDICARE PTAN
7100223400MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2170198
Facility Type
Community Clinic
Certificate Effective Date
August 06, 2025
Certificate Expiration Date
August 05, 2027
Laboratory Director
MS. TAMMY CLARK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prestonsburg Primary Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRESTONSBURG PRIMARY CARE PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942554068, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 0 + 5 + 8 + 0 + 1 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1942554068.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
535 N LAKE DR
PRESTONSBURG, KY 41653
Family Medicine
535 N LAKE DR
PRESTONSBURG, KY 41653
Physician Assistant
535 N LAKE DR
PRESTONSBURG, KY 41653
Assistant Behavior Analyst
535 N LAKE DR
PRESTONSBURG, KY 41653
Behavior Analyst
535 N LAKE DR
PRESTONSBURG, KY 41653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942554068, enumerated as an "organization" on October 29, 2012.

The provider is located at 535 N LAKE DR PRESTONSBURG, KY 41653 and the phone number is (606) 886-8466.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.