Active NPI
Cumberland Family Medical Center Inc
Doing business as Casey Family Medical
- Federally Qualified Health Center (FQHC)
- Liberty, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Doing business as
- Casey Family Medical
d/b/a CASEY FAMILY MEDICAL - Practice address
- 428 Hustonville Street
Liberty, KY 42539-3140 - Phone
- (606) 787-0180
- Fax
- (606) 787-0104
- NPI assigned
- Jan 9, 2014
- Reactivated
- Dec 12, 2023
- Last updated
- Sep 18, 2025
- Organization subpart
- Yes
- Parent organization
- CUMBERLAND FAMILY MEDICAL CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric E Loy, MD
- Title
- Ceo
- Phone
- (270) 858-6655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | KY | Primary |
Addresses
Primary practice location
428 Hustonville Street
Liberty, KY 42539-3140
Mailing address
PO Box 2399
Russell Springs, KY 42642-2399
Phone (270) 858-6655
Other names 2
- Casey Family Medical
- d/b/a CASEY FAMILY MEDICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000433 | KY | Part B Supplier - Clinic/Group Practice | 6305947789 |
Receives reassigned benefits from 287 practitioners This NPI is an additional NPI on the enrollment |
| O20240627002669 | KY | Part A Provider - Federally Qualified Health Center (FQHC) | 6305947789 | Practice locations: Liberty, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902228075. Details of each certification follow.
Federally qualified health center certification: CCN B01133
- Legal name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Doing business as
- CASEY FAMILY MEDICAL
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 25, 2024
- Last certification
- Jul 25, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Not Selected
- Enrollment address
- 428 Hustonville St
Liberty, KY 42539-3140
National Provider Directory
National Provider Directory- Part of
- Cumberland Fam Med Ctr
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eric E Loy | Corporate Officer | Jul 1, 2007 | |
| Corporate Director | Apr 19, 2016 | ||
| W-2 Managing Employee | Jul 1, 2007 | ||
| Paula S Little | Corporate Director | Jul 1, 2007 | |
| Larry K Riddle | Corporate Officer | Sep 4, 2007 | |
| Corporate Director | Sep 4, 2007 | ||
| Lacey Terry | Corporate Director | Jun 25, 2019 | |
| Josh Hardin | Corporate Director | Feb 1, 2014 | |
| Elizabeth T Everley | Corporate Director | Jun 19, 2012 | |
| Lisa Tarter | Corporate Director | Nov 28, 2017 | |
| James R Flowers | Corporate Director | Aug 1, 2009 | |
| Rebecca Radford | Corporate Director | Apr 19, 2016 | |
| Terry Grider | Corporate Director | Apr 19, 2016 | |
| Bridget L Booher | Corporate Director | Feb 12, 2008 | |
| Garyon Scott | Corporate Director | Jun 17, 2008 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Burkesville, KY
- NPI 1548297393
Corporate Director, Corporate Officer, W-2 Managing Employee
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Alavaton Elementary Healthy Kids Clinic | Federally qualified health center | Operational/Managerial Control | Jul 1, 2007 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1902228075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2399",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426422399",
"telephone_number": "270-858-6655",
"fax_number": "270-858-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 HUSTONVILLE STREET",
"city": "LIBERTY",
"state": "KY",
"postal_code": "425393140",
"telephone_number": "606-787-0180",
"fax_number": "606-787-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"enumeration_date": "2014-01-09",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"deactivation_date": "2022-04-08",
"reactivation_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "LOY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "270-858-6655",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Casey Family Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "d/b/a CASEY FAMILY MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Liberty, KY
- Cumberland Family Medical Center Inc (Walnut Hill Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Casey County High Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Liberty Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Jones Park Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Casey County Middle Healthy Kids Clinic)
- Cumberland Foot and Ankle Centers
- Cundiff Family Chiropractic, PSC
- Kerry Darin Cundiff, DC
- Anne Marie Davis, ARNP
- Morgan Ellyse Dean, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.