Family Care Clinic PLLC
NPI 1679053581ActiveOrganization· Family Medicine· Richmond, KY
Family Medicine in Richmond, Kentucky, registered in NPPES in August 2018. The authorized official on file is Jeryl L. Pittman, APRN, Member/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679053581 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2018 |
| Last updated in NPPES | Dec 29, 2020 |
| Certified by provider | Dec 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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