Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700172 Issued in KY

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Waynesburg Elementary Healthy Kids Clinic

Practice address

345 Ky Highway 328 W
Waynesburg, KY 40489-8205

Phone

(844) 435-0900

Fax

(270) 858-4029

NPI assigned

Mar 24, 2017

Last updated

Sep 18, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric E Loy, MD

Title

Ceo

Phone

(270) 858-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waynesburg Elementary Healthy Kids Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043741713. Details of each certification follow.

• CCN 181053 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181053

Legal name

WAYNESBURG ELEMENTARY HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 22, 2018

Last certification

Jan 22, 2018

Ownership / control type

For profit – corporation

Facility address

345 Ky Highway 328 W
Waynesburg, KY 40489

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan D. Ruby, M.D.

  • Family Medicine Physician
  • Somerset, KY
  • NPI 1346395837
  NPD
• Ashlyn E Boots, LPCC

  • Professional Counselor
  • Crab Orchard, KY
  • NPI 1649937913
  NPD (past)
• Jessica M Cornelius, PAC

  • Physician Assistant
  • Danville, KY
  • NPI 1235235607
  NPD (past)
• Jessica D Fletcher, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1235914607
  NPD (past)
• Latasha E. Gilpatrick, APRN

  • Family Nurse Practitioner
  • Columbia, KY
  • NPI 1578863957
  NPD (past)
• Elizabeth A Meeks, APRN

  • Family Nurse Practitioner
  • Crab Orchard, KY
  • NPI 1356132187
  NPD (past)
• Jordan W Warren, APRN

  • Family Nurse Practitioner
  • Crab Orchard, KY
  • NPI 1033842380
  NPD (past)
• Rachel Norris Wright, LCSW

  • Clinical Social Worker
  • Crab Orchard, KY
  • NPI 1134643729
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1043741713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6644",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KY HIGHWAY 328 W",
            "city": "WAYNESBURG",
            "state": "KY",
            "postal_code": "404898205",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-858-6655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesburg Elementary Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackie Adington, APRN
• Cumberland Family Medical Center Inc (Highland Elementary Healthy Kids Clinic)
• Faith Healthcare, Inc.
• Family Health Care Associates 8 Limited Liability Company
• Anita C Ledbetter, APRN
• Lincoln County Health Department (Highland Elementary School Health Office)

• Federally Qualified Health Center (FQHC) in Waynesburg, KY
• Providers in Waynesburg, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.