- Primary Care in Willaimsburg, KY

  1. Home
  2. Primary Care Clinics
  3. KY
  4. Willaimsburg
is a primary clinic (Clinic/center - Multi-specialty) in Willaimsburg, Kentucky. The current practice location for is 998 South Highway 25w, Willaimsburg, Kentucky. For appointments, you can reach them via phone at (606) 549-1183. The mailing address for is 188 Hospital Lane, Jellico, Tennessee and phone number is (423) 784-7252.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1407154800. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (606) 549-1183.

Contact Information

998 South Highway 25w
Willaimsburg
KY 40769
(606) 549-1183
(606) 549-8107

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/center - Multi-specialty
Location998 South Highway 25w, Willaimsburg, Kentucky
Authorized Official Name and PositionEvelyn Ghulam (CONTROLLER)
Authorized Official Contact4237841334
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

188 Hospital Lane
Jellico
TN 37762-4433

Ph: (423) 784-7252
998 South Highway 25w
Willaimsburg
KY 40769

Ph: (606) 549-1183

NPI Details:

NPI Number1407154800
Provider Enumeration Date03/09/2011
Last Update Date03/10/2016

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407154800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363AM0700XPhysician Assistant - Medical PA071 (Kentucky)Secondary
363L00000XNurse Practitioner 3007739 (Kentucky)Secondary
363L00000XNurse Practitioner 3004431 (Kentucky)Secondary
363L00000XNurse Practitioner 3002560 (Kentucky)Secondary

Reviews and Comments


Clinic/Center in Willaimsburg, KY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.