About Tri-Rivers Healthcare
Primary Care, General Surgery, Behavioral Health, and Substance Abuse Treatment in Salem, Smithland, and Marion, KY
Tri-Rivers Healthcare brings quality healthcare to the communities of Livingston and Crittenden Counties and beyond through three Independent Rural Health Clinics, Crittenden Community Hospital Annex, Salem Spring Lake Nursing Home and Crittenden County Convalescent Center. Tri-Rivers Healthcare is owned and medically directed by Dr. William Barnes and Dr. Ghassan Yazigi. The providers and staff take pride in bringing compassionate patient centered care to the communities served near and far.
Our providers specialize in a variety of services to treat the whole person’s health needs, including acute care and disease prevention through end of life. Our services encompass both physical and mental health in partnership with the patient and their loved ones. In addition to integrated primary care, we also serve patients with general surgery needs, behavioral health needs, substance use disorder through our Medication Assisted Treatment (MAT) program, and Hepatitis C Diagnosis and Treatment.
Our Providers

William Barnes, M.D., FACS, MBA
General Surgery and General Practice
Fellow American College of Surgeons
Board Certified General Surgery – American Board of Surgery

Demetrius Patton, M.D., FACS
General Surgery
Board Certified General Surgery – American Board of Surgery
Ghassan Yazigi, M.D.
Internal Medicine
Board Certified Internal Medicine – American Board of Internal Medicine
Michael Gavin, M.D.
General Practice
Member – American Academy of Family Physicians
Board Certified – American Board of Surgery
Clinical Staff

Kara Phillips, APRN
Family Practice
Substance Abuse Treatment
Diagnosis and Treatment of Hepatitis C
Board Certified Family Practice – American Academy of Nurse Practitioners

Terry Boone, PA-C
Primary Care
Board Certification – National Commission on Certification of Physician Assistants

Justin Lewis, PA-C
Primary Care
Board Certification – National Commission on Certification of Physician Assistants

Jessica Harris, APRN
Family Practice
Board Certified Family Practice – American Academy of Nurse Practitioners

Robert Wilkinson, APRN
Family Practice
Geriatrics
Substance Abuse Treatment
Board Certified Gerontological Nurse Practitioner – American Nurses Credentialing Center

Jennifer Alexander, APRN, PMHNP
Behavioral Health
Board Certified Behavioral Health – American Nursing Credentialing Center

Danielle Guminski, APRN, PMHNP
Behavioral Health
Board Certified Behavioral Health – American Nursing Credentialing Center
Lee Keller, APRN, PMHNP
Behavioral Health
Board Certified Behavioral Health – American Nurses Credentialing Center
Board Certified Family Practice – American Academy of Nurse Practitioners

Robin Leidecker, APRN