Organization Active NPI

A New Start Primary Care LLC

  • Rural Health Clinic/Center
  • Central City, KY
National Provider Identifier
1043796733
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
A NEW START PRIMARY CARE LLC
Practice address
224 Phillip Stone Way
Central City, KY 42330-1929
Phone
(270) 757-2202
Fax
(270) 757-2378
NPI assigned
Jul 16, 2018
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Timothy Dukes
Title
Ceo & President
Phone
(270) 754-3494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

224 Phillip Stone Way
Central City, KY 42330-1929

Mailing address

224 Phillip Stone Way
Central City, KY 42330-1929
Phone (270) 754-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181207001968 KY Part A Provider - Rural Health Clinic 8123362779 Practice locations: Central City, KY
O20201204001956 KY Part B Supplier - Clinic/Group Practice 8123362779 Receives reassigned benefits from 11 practitioners
Practice locations: Central City, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043796733. Details of each certification follow.

Rural health clinic certification: CCN 183802

Legal name
A NEW START PRIMARY CARE LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 22, 2019
Last certification
Apr 5, 2019
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Apr 4, 2018 in KY
Enrollment address
224 Phillip Stone Way
Central City, KY 42330-1929

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2162713A New Start Primary Care, LLC224 Phillip Stone Way, Central City, KY 42330Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
A New Start LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

224 Phillip Stone Way
Central City, KY 42330
Phone (270) 757-2202

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger S Jones Individual Corporate DirectorMedical Director Feb 1, 2024
W-2 Managing EmployeeMedical Director Feb 1, 2024
Thomas Powell Individual 5% Or Greater Direct Ownership Interest Apr 4, 2018 50%
Timothy Dukes Individual 5% Or Greater Direct Ownership Interest Apr 4, 2018 50%
Corporate OfficerCeo Apr 4, 2018
W-2 Managing EmployeeCeo Apr 4, 2018
Operational/Managerial Control Apr 4, 2018
William K Vincent Individual Corporate DirectorMD, Medical Director Jan 1, 2023
W-2 Managing EmployeeMD, Medical Director Jan 1, 2023
Operational/Managerial ControlMD, Medical Director Jan 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1043796733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "270-754-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "270-757-2202",
            "fax_number": "270-757-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW START PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "270-754-3494"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, KY

Sources for this page

Verify at the official NPI Registry.