New Lexington Clinic PSC

Organization Active NPI Ambulatory Surgical Clinic/Center · Lexington, KY

NPI 1093595696 · NPPES record last updated May 7, 2026

Key facts

NPI
1093595696
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
NEW LEXINGTON CLINIC PSC
Practice address
250 Fountain CT
Lexington, KY 40509-1888
Phone
(859) 263-4444
NPI assigned
Oct 2, 2023
Organization subpart
Yes
Parent organization (as reported)
NEW LEXINGTON CLINIC PSC

Authorized official

Name
Jason Ladd
Title
Cfo
Phone
(859) 258-4116

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 330

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

View all 330

Medicare Care Compare: Ambulatory surgical center

Listed as
New Lexington Clinic PSC Dba Dermatology Associates of Kentucky PSC CCN 18C0001037
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240410002385 KY Part B Supplier - Ambulatory Surgical Center 3476457532 Practice locations: Lexington, KY

National Provider Directory

Tax ID family
Jessamine Medical Inc (18 organizations share this tax ID)
Part of
Jessamine Medical Inc

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13059/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207N00000X
MOHS-Micrographic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207ND0101X
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

250 Fountain CT
Lexington, KY 40509-1888

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4491

Other identifiers

IdentifierTypeStateIssuer
7100996150MedicaidKY

Other names

  • Dermatology Associates of Kentucky PSC Doing business as

Other providers in Lexington, KY

All providers in Lexington, KY · Ambulatory Surgical Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.