Erinn Afflick
Individual provider Active NPI Adult Medicine Physician · Williamstown, KY
NPI 1669836268 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1669836268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 57773 (KY)
- Practice address
- 1895 Barnes Rd
Williamstown, KY 41097-3509 - Phone
- (843) 516-5979
- NPI assigned
- Apr 9, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PC
Practice addresses (Care Compare)
651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370
Hospital & facility affiliations
- Vanderbilt Clarksville Hospital
- Vanderbilt University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024004034 | TN | Practitioner - Family Practice | 6608160379 | Reassigns benefits to 1 organization |
| I20260217003100 | KY | Practitioner - Anesthesiology | 6608160379 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27486 | MN | MD | Clinical Social Worker |
| 57773 | KY | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Kentucky, PSC | Current |
Accepting new patients | |
| Southeastern Physician Services PC | Current |
Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 57773 | KY | Yes |
Addresses
Primary practice location
1895 Barnes Rd
Williamstown, KY 41097-3509
Mailing address
4834 Rolling Green Dr
Wesley Chapel, FL 33543-7007
Other practice location 1
200 1st South St
Rochester, MN 55905-0001
Phone (507) 284-2511
Other providers in Williamstown, KY
- Abounding Life Counseling and Support, LLC
- Air Evac EMS Inc.
- Lisa Landrum Alexander
- Karianna Rose Applegate
- Rhonda Asher
- Back in Line Family Chiropractic PSC Inc
All providers in Williamstown, KY · Adult Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.