Family Health Care Associates 4

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY HEALTH CARE ASSOCIATES 4

Practice address

110 Professional LN Ste 202
Harlan, KY 40831-2590

Phone

(606) 621-0363

Fax

(606) 645-1776

NPI assigned

Jul 20, 2019

Organization subpart

No

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

Authorized official

Name

Gina Good, APRNNPI 1831167584

Title

Owner

Phone

(606) 546-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Rural health clinic certification: CCN B03822

Legal name

FAMILY HEALTH CARE ASSOCIATES 4

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jun 30, 2020

Last certification

Jun 30, 2020

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

Jun 13, 2019 in KY

Enrollment address

110 Professional LN
Ste 202
Harlan, KY 40831-2590

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Good, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1831167584
  NPD (past) Authorized official

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1942853734",
    "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": "110 PROFESSIONAL LN STE 202",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312590",
            "telephone_number": "606-621-0363",
            "fax_number": "606-645-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 N US Highway 119",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "KY",
            "postal_code": "408068337",
            "country_code": "US",
            "telephone_number": "606-546-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "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",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Brian Dye, M.D.
• Jose Echeverria, MD
• Kellie Ellis, MA, CCC-SLP
• Leah Catherine Evans, RN, BSN
• Shelley Eversole, MA CCC-SLP
• Christa Farley
• Jesse Robert Faulkner
• Karen K Franks, P.T.A.
• Tyler Frazier, PHARMD
• Bobbie Frederick, APRN

• Rural Health Clinic/Center in Harlan, KY
• Providers in Harlan, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.