LOGAN FAMILY PRACTICE LLC
NPI 1285207241
Family Medicine in Russellville, KY

NPI Status: Active since July 19, 2021

Contact Information

1719 NASHVILLE ST
RUSSELLVILLE, KY
ZIP 42276
Phone: (270) 726-7664

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  • Organization
  • Family Medicine

About LOGAN FAMILY PRACTICE LLC

This page provides the complete NPI Profile along with additional information for Logan Family Practice Llc, a primary care provider established in Russellville, Kentucky operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1285207241 assigned on July 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated June 2025. Logan Family Practice Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Johnetta Traylor (Ao)

NPI
1285207241
Provider Name
LOGAN FAMILY PRACTICE LLC
Entity Type
Organization
Location Address
1719 NASHVILLE ST RUSSELLVILLE, KY 42276
Location Phone
(270) 726-7664
Mailing Address
680 S 4TH ST LOUISVILLE, KY 40202
Mailing Phone
(502) 596-6063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2021
Last Update Date
06-26-2025
Code Navigator

A primary care provider (PCP) like Logan Family Practice Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHNETTA TRAYLOR

Authorized Official Title
AO
Authorized Official Phone
(502) 596-6063

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285207241
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165401428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 0 + 1 + 4 + 2 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1285207241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760594840PATRICK K HAYDEN LOGAN FAMILY PRACTICE
Organization
Family Medicine1719 NASHVILLE ST SUITE C
RUSSELLVILLE, KY 42276
(270) 726-7664
1770695538 MELINDA E HANN ARNP
Individual
Nurse Practitioner (Family)1719 NASHVILLE ST SUITE C
RUSSELLVILLE, KY 42276
(270) 726-7664
1295847184DR. PATRICK KEVIN HAYDEN M.D.
Individual
Family Medicine1719 NASHVILLE ST SUITE C
RUSSELLVILLE, KY 42276
(270) 726-7664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285207241, enumerated in the NPI registry as an "organization" on July 19, 2021

The provider is located at 1719 Nashville St Russellville, Ky 42276 and the phone number is (270) 726-7664

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on July 19, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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