Southfork Medical Clinic PLLC
NPI 1205616265 · Rural Health Clinic/Center · Whitley City, KY
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southfork Medical Clinic PLLC is a Rural Health Clinic/Center organization in Whitley City, KY (NPI 1205616265).
Provider details
- NPI number
- 1205616265
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Virginia Correll, Credentialing(606) 376-7212
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- South Fork Clinic PLLC
Registry dates
- Enumerated
- 2023-10-05
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Southfork Medical Clinic PLLC's NPI number?
- Southfork Medical Clinic PLLC's National Provider Identifier (NPI) is 1205616265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southfork Medical Clinic PLLC?
- Southfork Medical Clinic PLLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southfork Medical Clinic PLLC located?
- Southfork Medical Clinic PLLC's practice location on file with NPPES is 57 Medical Lane, Whitley City, KY 42653.
- What is Southfork Medical Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southfork Medical Clinic PLLC is (606) 376-7211.
- Does Southfork Medical Clinic PLLC accept Medicare?
- Southfork Medical Clinic PLLC 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 Southfork Medical Clinic PLLC?
- The authorized official listed on Southfork Medical Clinic PLLC's NPPES record is Virginia Correll, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southfork Medical Clinic PLLC's NPI active?
- Yes — Southfork Medical Clinic PLLC's NPI (1205616265) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.