Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Pine Knot Intermediate Healthy Kids Clinic

Practice address

6519 S Highway 1651
Pine Knot, KY 42635-9162

Phone

(844) 435-0900

Fax

(270) 858-4029

NPI assigned

Sep 3, 2019

Last updated

Sep 18, 2025By 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

Eric E Loy, MD

Title

Ceo

Phone

(270) 858-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine Knot Intermediate Healthy Kids Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952959892. Details of each certification follow.

• CCN 181162 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181162

Legal name

PINE KNOT INTERMEDIATE HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 11, 2019

Last certification

Nov 11, 2019

Ownership / control type

For profit – partnership

Facility address

6519 South Highway 1651
Pine Knot, KY 42635

Practitioners 4

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.

• Abbigail S Hart, LCSW

  • Clinical Social Worker
  • Cecilia, KY
  • NPI 1184375271
  NPD
• Sarah Leeanna Milby, FNP-C

  • Family Nurse Practitioner
  • Loretto, KY
  • NPI 1154924678
  NPD
• Christopher D Moons, LPCC

  • Professional Counselor
  • Albany, KY
  • NPI 1467857342
  NPD
• Alyssa L Mullins, D.O.

  • Family Medicine Physician
  • Russell Springs, KY
  • NPI 1174100895
  NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1952959892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 S HIGHWAY 1651",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426359162",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Knot Intermediate Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Michelle Sunshine Canada, LCADC, LPCC
• Brandy Nicole Corder, LPCC, LCADC
• Cumberland Family Clinic, PLLC
• Cumberland Family Medical Center Inc (Pine Knot Primary Healthy Kids Clinic)
• Daughertys Drug Store Inc
• Tonya Lavern Hackler
• Brittany Hampton
• Industrial Wellness Services of Kentucky, PLLC (Appalachian Family Care)
• Tena Louise Jessing, PHARM. D.

• Federally Qualified Health Center (FQHC) in Pine Knot, KY
• Providers in Pine Knot, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• 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.

Verify at the official NPI Registry.