Grace Mountain Medical, LLC
NPI 1821645896ActiveOrganization· Family Medicine· Pikeville, KY
Family Medicine in Pikeville, Kentucky, registered in NPPES in August 2019. The authorized official on file is Tonya Renee Shepherd Hatfield, APRN, Co-Owner.
Overview
| NPI | 1821645896 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2019 |
| Last updated in NPPES | Nov 14, 2024 |
| Certified by provider | Nov 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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