NPIMap

Organization Active NPI

T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Columbia, KY
National Provider Identifier
1235595653
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
T J HEALTH COLUMBIA INC
Practice address
902 Wellness Way
Columbia, KY 42728-1149
Phone
(270) 384-0451
Fax
(270) 384-0454
NPI assigned
Jan 14, 2016
Organization subpart
Yes
Parent organization
TJ REGIONAL HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Neil Thornbury
Title
Ceo
Phone
(270) 651-4159

Specialties & licenses 1

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

Addresses

Primary practice location

902 Wellness Way
Columbia, KY 42728-1149

Mailing address

PO Box 645996 Cincinnati
Cincinnati, OH 45264-0001
Phone (270) 651-4444

Other identifiers 1

IdentifierTypeStateIssuer
7100422710MedicaidKY

Other names 1

  • T J Health Columbia Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160325000011 KY Part A Provider - Rural Health Clinic 7113224783 Practice locations: Columbia, KY
O20160929001571 KY Part B Supplier - Clinic/Group Practice 7113224783 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
Practice locations: Columbia, KY; Scottsville, KY

Rural health clinic certification: CCN 183970

Legal name
T J HEALTH COLUMBIA INC
Doing business as
T J HEALTH COLUMBIA CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 13, 2009
Last certification
May 31, 2016
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Dec 15, 2015 in KY
Enrollment address
902 Wellness Way
Columbia, KY 42728-1149

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
18D1090690T J Health Columbia Clinic902 Wellness Way, Columbia, KY 42728Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
T J Health Columbia10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Thomas Rich Alexander Individual Corporate DirectorBoard Member Dec 15, 2015
Ladonna G Rogers Individual Corporate OfficerEvp / Human Resources Dec 15, 2015
Stacey Biggs Individual Corporate OfficerEvp / Marketing Jan 1, 2021
Neil C Thornbury Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeCeo Dec 15, 2015
Jodie Holgate Individual Corporate OfficerEvp/ Patient Care Services Jan 1, 2021
Bo Matthews Individual Corporate DirectorBoard Member Jan 1, 2021
TJ Regional Health Inc Organization, Glasgow, KY Non-profit 5% Or Greater Direct Ownership Interest Dec 15, 2015 100%
Ervin Sorrell Individual Corporate DirectorBoard Member Jan 1, 2021
Michael S Young Individual Corporate DirectorBoard Member Dec 15, 2015
Brent Billingsley Individual Corporate DirectorBoard Member Jan 1, 2021
Brandon Dickey Individual Corporate OfficerEvp / Cno Jan 1, 2021
James Lee Individual Corporate OfficerEvp / Support Services Dec 15, 2015
Michael Bryant Individual Corporate DirectorBoard Member Dec 15, 2015
Mei Deng Individual Corporate OfficerCfo Jan 1, 2021
Rollin Underwood Individual Corporate DirectorBoard Member Dec 15, 2015
Christy Biggerstaff Individual W-2 Managing EmployeeBusiness Office Director Jan 1, 2021
Karen Small Individual Corporate DirectorBoard Member Dec 15, 2015
Michael Andrew Saridakis Individual Corporate DirectorBoard Member Jan 1, 2022
Daniel Foutch Individual Corporate DirectorBoard Member Dec 15, 2015
Jennifer Cerwinske Individual Corporate OfficerEvp / Practice Management Jan 1, 2021
Joseph Botts Individual Corporate DirectorBoard Member Dec 15, 2015
Henry Royse Individual Corporate DirectorBoard Member Dec 15, 2015
Kylend Hollie Kiser Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 2

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

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Feb 11, 2016 Change of OwnershipThis provider was the buyer Westlake Family PracticeCCN 183970, KY, NPI 1396992970

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1235595653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645996 CINCINNATI",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640001",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WELLNESS WAY",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281149",
            "telephone_number": "270-384-0451",
            "fax_number": "270-384-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T J HEALTH COLUMBIA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TJ REGIONAL HEALTH INC",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "THORNBURY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-651-4159"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100422710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T J Health Columbia Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T J Health Columbia Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.