Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Mountain Clinic PSC

Organization Internal Medicine Physician · NPI 1205054327

Pine Mountain Clinic PSC is an Internal Medicine Physician in Pineville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

850 Riverview Rd
Pineville, KY 40977-1430
Phone: (606) 337-6047
Fax: (606) 337-0925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 29667 (KY)

Record details

NPI number1205054327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madhan Mohan — Owner · (606) 337-6047
NPI enumeratedApril 23, 2007
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address850 Riverview Rd, Po Box 308, Pineville, KY 40977-1430

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