Knox County Family Practice Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

900118 Issued in KY

Legal business name

KNOX COUNTY FAMILY PRACTICE CLINIC

Practice address

39 Cumberland Gap PLZ
Gray, KY 40734-4536

Phone

(606) 528-2850

Fax

(606) 528-1131

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By 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

Robert A. Carter Jr.

Title

President

Phone

(606) 528-0283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366494080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021125",
            "telephone_number": "606-528-0283",
            "fax_number": "606-528-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CUMBERLAND GAP PLZ",
            "city": "GRAY",
            "state": "KY",
            "postal_code": "407344536",
            "telephone_number": "606-528-2850",
            "fax_number": "606-528-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-528-0283",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "900118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Garland
• Natasha Garrison, APRN
• Rita Carol Gilbert, APRN
• Kristy Marie Keefe, PSY.D.
• Kentucky Rural Health Information Technology Network, Inc. (Horizon Health)
• Knox County Family Practice Clinic, Inc.
• Bianca Lambert, PA-C
• Mary Beth Lopez, APRN
• Janet Y Mosley, APRN
• Redemption Road Recovery

• Family Medicine Physician in Gray, KY
• Providers in Gray, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.