Pine Mountain Clinic Psc
NPI 1205054327 · Internal Medicine Physician · Pineville, KY
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Mountain Clinic Psc is a Internal Medicine Physician organization in Pineville, KY (NPI 1205054327).
Provider details
- NPI number
- 1205054327
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Madhan Mohan, Owner(606) 337-6047
- License
- 29667 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Frequently asked questions
- What is Pine Mountain Clinic Psc's NPI number?
- Pine Mountain Clinic Psc's National Provider Identifier (NPI) is 1205054327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Mountain Clinic Psc?
- Pine Mountain Clinic Psc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pine Mountain Clinic Psc located?
- Pine Mountain Clinic Psc's practice location on file with NPPES is 850 Riverview Rd, Pineville, KY 40977-1430.
- What is Pine Mountain Clinic Psc's phone number?
- The practice phone number listed in the NPPES registry for Pine Mountain Clinic Psc is (606) 337-6047.
- Does Pine Mountain Clinic Psc accept Medicare?
- Pine Mountain Clinic Psc 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 Pine Mountain Clinic Psc?
- The authorized official listed on Pine Mountain Clinic Psc's NPPES record is Madhan Mohan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Mountain Clinic Psc's NPI active?
- Yes — Pine Mountain Clinic Psc's NPI (1205054327) is active in the NPPES registry as of the last update on 2026-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.