Pediatric Associates
NPI 1013954510 · Rural Health Clinic/Center · Stanton, KY
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Associates is a Rural Health Clinic/Center organization in Stanton, KY (NPI 1013954510).
Provider details
- NPI number
- 1013954510
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Djien So, Operating Manager(606) 432-0174
- License
- 900183 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Red River Health Care
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2017-03-21
Frequently asked questions
- What is Pediatric Associates's NPI number?
- Pediatric Associates's National Provider Identifier (NPI) is 1013954510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Associates?
- Pediatric Associates is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Associates located?
- Pediatric Associates's practice location on file with NPPES is 321c E College Ave, Stanton, KY 40380-2325.
- What is Pediatric Associates's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Associates is (606) 663-9797.
- Does Pediatric Associates accept Medicare?
- Pediatric Associates is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Associates?
- The authorized official listed on Pediatric Associates's NPPES record is Djien So, Operating Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Associates's NPI active?
- Yes — Pediatric Associates's NPI (1013954510) is active in the NPPES registry as of the last update on 2017-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.