Organization Active NPI

Commonwealth Family Clinic, PLLC

  • Primary Care Clinic/Center
  • Lexington, KY
National Provider Identifier
1003583717
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMONWEALTH FAMILY CLINIC, PLLC
Practice address
2387 Professional Heights Dr Ste 60
Lexington, KY 40503-3004
Phone
(859) 303-8756
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Anne Claire Compton, APRNNPI 1235581653
Title
Owner, Employee
Phone
(859) 457-1864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

2387 Professional Heights Dr Ste 60
Lexington, KY 40503-3004

Mailing address

1890 Star Shoot Pkwy Ste 170
Lexington, KY 40509-4567
Phone (859) 457-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230804001631 KY Part B Supplier - Clinic/Group Practice 1052772183 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2283014Commonwealth Family Clinic2387 Professional Heights Dr Suite 60, Lexington, KY 40503Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory

Locations

1890 Star Shoot Pkwy
Ste 170
Lexington, KY 40509
Phone (859) 333-8147

2387 Professional Heights Dr
Ste 60
Lexington, KY 40503
Phone (859) 277-1137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1003583717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STAR SHOOT PKWY STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094567",
            "telephone_number": "859-457-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 PROFESSIONAL HEIGHTS DR STE 60",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033004",
            "telephone_number": "859-303-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2023-12-08",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER, EMPLOYEE",
        "authorized_official_telephone_number": "859-457-1864",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.