Pine Mountain Clinic Psc
Pine Mountain Clinic Psc is a healthcare organization registered as Internal Medicine Physician in Pineville, KY, holding Type 2 (organization) NPI 1205054327 since 2007. The authorized official on file is Madhan Mohan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205054327 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine Mountain Clinic Psc |
| Practice address | 850 RIVERVIEW RD, Pineville, KY, 40977 |
| Phone | 6063376047 |
| Fax | 6063370925 |
| Enumeration date | 2007-04-23 |
| Last updated in NPPES | 2026-01-07 |
Authorized official
| Name | Madhan Mohan |
|---|---|
| Title | Owner |
| Phone | 6063376047 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | 29667 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65930851 | Medicaid | KY | — |
Copy-ready billing details
Provider: Pine Mountain Clinic Psc NPI: 1205054327 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 850 RIVERVIEW RD, Pineville, KY, 40977
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821085440 | Pineville Community Hospital Assn Inc. | Organization | General Acute Care Hospital | Pineville, KY |
| 1053361337 | Sankar Lakshman | Individual | Diagnostic Radiology Physician | Pineville, KY |
| 1033157177 | James Hartley | Individual | Emergency Medicine Physician | Pineville, KY |
| 1710914916 | Robert Bond | Individual | Emergency Medicine Physician | Pineville, KY |
| 1881626935 | Lawrence K Butcher Psc | Organization | Obstetrics & Gynecology Physician | Pineville, KY |
| 1447272216 | Pineville Community Hospital Association, Inc. | Organization | Skilled Nursing Facility | Pineville, KY |
| 1215944384 | J Clark | Individual | Diagnostic Radiology Physician | Pineville, KY |
| 1669482816 | Madhan Mohan | Individual | Internal Medicine Physician | Pineville, KY |
Verify this record
Cross-check NPI 1205054327 against the authoritative CMS record: view Pine Mountain Clinic Psc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Pine Mountain Clinic Psc?
What is the NPI number for Pine Mountain Clinic Psc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-07.