NPIMap

Organization Active NPI

Faith Healthcare Inc.

  • Federally Qualified Health Center (FQHC)
  • London, KY
National Provider Identifier
1336006154
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAITH HEALTHCARE INC.
Practice address
1675 S Main St
London, KY 40741-2050
Phone
(606) 266-8266
Fax
(606) 266-8300
NPI assigned
Jan 5, 2026
Organization subpart
Yes
Parent organization
FAITH HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Cory Ryan, MD
Title
Ceo
Phone
(606) 396-6131

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1675 S Main St
London, KY 40741-2050

Mailing address

PO Box 969
Somerset, KY 42502-0969
Phone (606) 425-5768

Other names 1

  • LC Rheumatology London Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260428000329 KY Part A Provider - Federally Qualified Health Center (FQHC) 0840529335 Practice locations: London, KY

Federally qualified health center certification: CCN B01195

Legal name
FAITH HEALTHCARE INC
Doing business as
LC RHEUMATOLOGY LONDON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 6, 2026
Last certification
Mar 6, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1675 S Main St
London, KY 40741

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Community Care Clinic15 organizations share this tax ID, including this one
Part of
Community Care Clinic

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
John Sloan Individual Corporate OfficerChief Compliance Officer Jan 1, 2023
Cody Dishman Individual Corporate DirectorBoard Member Jan 1, 2023
Adam Ellis Individual Corporate DirectorBoard Member Jan 1, 2023
Jennifer Tindall Individual Corporate DirectorBoard Member Jan 1, 2023
Julie Parent Individual Corporate DirectorBoard Member Jan 1, 2023
Chelsey Staton Individual Corporate DirectorBoard Member Jan 1, 2023
Jonathan Grider Individual Corporate DirectorBoard Chair Jan 1, 2023
Shannon Thompson Individual Corporate DirectorBoard Member Jan 1, 2023
Brently Robertson Individual Corporate DirectorBoard Member Jan 1, 2023
Heather Slavey Individual Corporate OfficerChief Human Resource Officer Jan 1, 2023
Kristen Upchurch Individual Corporate DirectorBoard Member Jan 1, 2023
Kelli Chaney Individual Corporate OfficerChief Administrative Officer Jan 1, 2023
Cory Ryan Individual Corporate OfficerCeo May 31, 2024
W-2 Managing EmployeeMD;Ceo May 31, 2024

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1336006154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425020969",
            "telephone_number": "606-425-5768",
            "fax_number": "606-425-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412050",
            "telephone_number": "606-266-8266",
            "fax_number": "606-266-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH HEALTHCARE INC.",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-396-6131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LC Rheumatology London",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.