Individual provider Active NPI

Lon E Lafferty, MD

  • Adult Medicine Physician
  • Inez, KY
National Provider Identifier
1194724229
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
24313 Issued in KY
Practice address
2160 Blacklog Rd
Inez, KY 41224-9019
Phone
(606) 295-5028
Fax
(606) 638-4502
NPI assigned
Jul 20, 2005
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 24313 KY Primary

Addresses

Primary practice location

2160 Blacklog Rd
Inez, KY 41224-9019

Mailing address

PO Box 1304
Inez, KY 41224-1304
Phone (606) 298-7405

Other identifiers 1

IdentifierTypeStateIssuer
64243132MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000679 KY Practitioner - Family Practice 6608946959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lon Lafferty MD PSCGroup PAC ID 4880764141, 2 clinicians

Practice addresses (Care Compare)

2160 Blacklog Rd
Inez, KY 41224-9019
Phone (606) 298-5028

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24313KYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warfield Rural Healthcare, Inc Adult Medicine CurrentSince Apr 15, 2025 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lon Lafferty MD PSCInez, KY, CCN 183959 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)
Jun 5, 2001
Jun 5, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1194724229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1304",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412241304",
            "telephone_number": "606-298-7405",
            "fax_number": "606-298-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 BLACKLOG RD",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412249019",
            "telephone_number": "606-295-5028",
            "fax_number": "606-638-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "LON",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "24313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64243132",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inez, KY

Sources for this page

Verify at the official NPI Registry.