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FAMILY PRACTICE OF KENTUCKY LLC
NPI 1972979540
Clinic/Center - Rural Health in Manchester, KY

Active since August 18, 2015
21 CRESTVIEW DR, MANCHESTER, KY 40962(606) 594-1769(606) 596-0473 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2022, Jul 31, 2018, Jun 20, 2018 and 2 more (5 updates tracked since 2016).

About Family Practice Of Kentucky Llc NPPES

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

FAMILY PRACTICE OF KENTUCKY LLC (NPI 1972979540) is a healthcare organization registered as a rural health in Manchester, Kentucky and active in the NPI registry since August 2015. The organization lists Eva A Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1972979540
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY PRACTICE OF KENTUCKY LLC
Location Address21 CRESTVIEW DRManchester, KY 40962-7012
Mailing Address204 Town Branch RdManchester, KY 40962-1322 · (606) 596-7196 · Fax (606) 598-1903
Phone(606) 594-1769
Fax(606) 596-0473
Organization SubpartNo
Authorized OfficialEva A EdwardsOwner · (606) 594-1769
Enumeration DateAugust 18, 2015
Last NPPES UpdateOctober 3, 20225 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1972979540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 900342 (KY)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
21 CRESTVIEW DR, Manchester, KY 40962
Open in Google Maps ↗

Other Identifiers 4

Other193200000XKY · Taxonomy Multi Specialty
Other188978KY · Medicare Part A
Other900342KY · Commonwealth Of Ky Provisional License
Medicaid7100537420KY

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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)

Family Practice Of Kentucky Llc 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 Family Practice Of Kentucky LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Dana Edwards, M.D.
General Surgery
NPI 1164424131
204 TOWN BRANCH RD
Manchester, KY 40962
(606) 598-8766
✔ PECOS0.6 mi
Eva Edwards, APRN,FNP-BC,RFNA,CNO
Nurse Practitioner
NPI 1396964102
204 TOWN BRANCH RD
Manchester, KY 40962
(606) 598-8766
✔ PECOS✔ Accepts Medicare0.6 mi
Betty Alevras, APRN
Nurse Practitioner
NPI 1346627296
249 OLD US HIGHWAY 421
Manchester, KY 40962
(606) 599-0077
✔ PECOS1.3 mi
Amber Henson, APRN
Nurse Practitioner
NPI 1205386786
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts Medicare1.4 mi
Sandra Pennington, APRN
Nurse Practitioner
NPI 1649005471
21 CRESTVIEW DR
Manchester, KY 40962
(606) 594-1769
✔ PECOS✔ Accepts Medicare1.4 mi
Kayla Roach, APRN
Nurse Practitioner
NPI 1205606282
21 CRESTVIEW DR
Manchester, KY 40962
(606) 594-1769
✔ PECOS✔ Accepts Medicare1.4 mi
Tammy Saylor, APRN
Nurse Practitioner
NPI 1821439746
39 CUMBERLAND GAP PLZ
Gray, KY 40734
(606) 526-9005
✔ PECOS✔ Accepts Medicare18 mi
Kristina Byrd, APRN, FNP-C
Nurse Practitioner
NPI 1326498338
200 MULBERRY ST
Booneville, KY 41314
(606) 593-6023
✔ PECOS✔ Accepts Medicare23 mi
Jill Jones, MD
Family Practice
NPI 1649229352
820 DOLWICK DR
Erlanger, KY 41018
(859) 301-5901
✔ PECOS138 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 18D2120458

Family Practice Of Kentucky LLC · Manchester, KY
Expired · Oct 17, 2026
CLIA Number18D2120458
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorMs. Eva A. Edwards
Laboratory Phone(606) 594-1769
Laboratory LocationFamily Practice Of Kentucky LLC21 Crestview Drive, Manchester, KY 40962
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 Family Practice Of Kentucky LLC's NPI number?

The NPI number for Family Practice Of Kentucky LLC is 1972979540. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Family Practice Of Kentucky LLC located?

Family Practice Of Kentucky LLC is located at 21 Crestview Dr, Manchester, KY 40962. The listed phone number is (606) 594-1769.

What is Family Practice Of Kentucky LLC's specialty?

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

Is Family Practice Of Kentucky LLC enrolled in Medicare?

Yes. Family Practice Of Kentucky LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Practice Of Kentucky LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Practice Of Kentucky LLC. 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 (7), Family Practice (1) and General Surgery (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family Practice Of Kentucky LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Family Practice Of Kentucky LLC 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 Family Practice Of Kentucky LLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.