NPIMap

Organization Active NPI

Family Health Care Associates 9

  • Rural Health Clinic/Center
  • Williamsburg, KY
National Provider Identifier
1447904875
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY HEALTH CARE ASSOCIATES 9
Practice address
3080 N Highway 25 W
Williamsburg, KY 40769-8602
Phone
(606) 515-6051
NPI assigned
Feb 4, 2022
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Gina GoodNPI 1831167584
Title
Owner
Phone
(606) 546-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3080 N Highway 25 W
Williamsburg, KY 40769-8602

Mailing address

PO Box 1535
Barbourville, KY 40906-5535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414001515 KY Part A Provider - Rural Health Clinic 4183010390 Practice locations: Williamsburg, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447904875. Details of each certification follow.

Rural health clinic certification: CCN B03946

Legal name
FAMILY HEALTH CARE ASSOCIATES 9
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 3, 2024
Last certification
Jan 3, 2024
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Jan 31, 2022 in KY
Enrollment address
3080 N Highway 25 W
Williamsburg, KY 40769-8602

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Gina Good Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Provider Jan 31, 2022 100%
Operational/Managerial ControlCeo Jan 17, 2022 100%

Owners & managing parties with NPI records 1

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

  • Gina Good, APRN
    • Family Nurse Practitioner
    • Barbourville, KY
    • NPI 1831167584

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1447904875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 N HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407698602",
            "telephone_number": "606-515-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES 9",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-546-7777"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

Verify at the official NPI Registry.