Mountain Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN FAMILY MEDICINE, LLC

Practice address

5425 N Mayo TRL Ste 201
Pikeville, KY 41501-2965

Phone

(606) 432-0191

NPI assigned

Feb 13, 2019

Last updated

Oct 11, 2021By 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

Dr. Brian Daniels, DONPI 1437441953

Title

Owner/Physician

Phone

(606) 432-0191

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

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.

• Brian Patrick Daniels, D.O.

  • Family Medicine Physician
  • Pikeville, KY
  • NPI 1437441953
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah M Justice, PAC

  • Physician Assistant
  • Whitesburg, KY
  • NPI 1710932488
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1073079273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 N MAYO TRL STE 201",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012965",
            "telephone_number": "606-432-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N MAYO TRL STE 201",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012965",
            "telephone_number": "606-432-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "606-432-0191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malisa Josephine Moss, D.O.
• Mountain Comprehensive Care Center, Inc. (Mountain Care Pharmacy)
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic for Children and Families)
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic)
• Mountain Family Medicine LLC
• Mountain Medicine Pharmacy Inc
• Mountain Outreach Inc (Mountain Outreach Adult Day-Pike)
• Cassidy Paige Mounts
• Christa Muckenhausen, MD
• Courtney Danielle Mullins

• Family Medicine Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.