NPIMap

Organization Active NPI

Family Practice Associates of Lexington PSC

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1053316596
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC
Practice address
1775 Alysheba Way
Ste 201
Lexington, KY 40509-2279
Phone
(859) 278-5007
Fax
(859) 278-6867
NPI assigned
Jun 20, 2005
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. John E Reesor, M.D.NPI 1447255922
Title
Ceo
Phone
(859) 977-2120

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
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1775 Alysheba Way
Ste 201
Lexington, KY 40509-2279

Mailing address

1775 Alysheba Way
Ste 201
Lexington, KY 40509-2279
Phone (859) 278-5007

Other identifiers 1

IdentifierTypeStateIssuer
65915993MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000560 KY Part B Supplier - Clinic/Group Practice 0749275022 Receives reassigned benefits from 21 practitioners
Practice locations: Lexington, KY; Nicholasville, 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
18D0949691Family Practice Associates of Lexington1775 Alysheba Way Suite 201, Lexington, KY 40509ComplianceNov 22, 2026

National Provider Directory

National Provider Directory

Locations

120 N Eagle Creek Dr
Ste 101
Lexington, KY 40509
Phone (859) 263-5004

1775 Alysheba Way
Ste 201
Lexington, KY 40509
Phone (606) 278-5007

2040 Harrodsburg Rd
Ste 300
Lexington, KY 40503
Phone (859) 278-5007

615 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 278-5007

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1053316596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "address_2": "STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092279",
            "telephone_number": "859-278-5007",
            "fax_number": "859-278-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "address_2": "STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092279",
            "telephone_number": "859-278-5007",
            "fax_number": "859-278-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "REESOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-977-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65915993",
            "state": "KY"
        }
    ],
    "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 17, 2014; 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.