Main Street Medical Clinic
NPI 1952180408 · Family Nurse Practitioner · Grayson, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Medical Clinic is a Family Nurse Practitioner organization in Grayson, KY (NPI 1952180408).
Provider details
- NPI number
- 1952180408
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stacy Holley, Owner(606) 474-0244
Specialties & taxonomies
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
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
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Frequently asked questions
- What is Main Street Medical Clinic's NPI number?
- Main Street Medical Clinic's National Provider Identifier (NPI) is 1952180408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Medical Clinic?
- Main Street Medical Clinic is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Main Street Medical Clinic located?
- Main Street Medical Clinic's practice location on file with NPPES is 107 E Main St, Grayson, KY 41143-1301.
- What is Main Street Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Main Street Medical Clinic is (606) 474-0244.
- Does Main Street Medical Clinic accept Medicare?
- Main Street Medical Clinic 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 Main Street Medical Clinic?
- The authorized official listed on Main Street Medical Clinic's NPPES record is Stacy Holley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Medical Clinic's NPI active?
- Yes — Main Street Medical Clinic's NPI (1952180408) is active in the NPPES registry as of the last update on 2023-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.