Lydia C. Samples Mattison, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37175 Issued in KY

Practice address

601 Versailles Rd
Frankfort, KY 40601-3857

Phone

(502) 695-3946

NPI assigned

May 26, 2006

Last updated

Feb 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Ohio State University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians

Centerwell Senior Primary Care Ky PSCGroup PAC ID 8022492024, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127
• Bluegrass Community Hospital Hospital, Versailles, KY, CCN 181308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care Ky PSC

  dba CenterWell Senior Primary Care- South 2nd

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1376282038

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  KY

  Medicare reassignment NPD
• Proactive Therapy, Inc

  • Occupational Therapist
  • Frankfort, KY
  • NPI 1932132149
  Care Compare group
• Centerwell Senior Primary Care (Ky) PSC

  dba CenterWell Senior Primary Care- Dixie Highway

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1699549683

  Family Medicine

  NPD
• Centerwell Senior Primary Care (Ky) PSC

  dba CenterWell Senior Primary Care- Eastside

  • Internal Medicine Physician
  • Frankfort, KY
  • NPI 1780455527

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frankfort Hospital, Inc.

  dba Frankfort Regional Medical Center

  • General Acute Care Hospital
  • Frankfort, KY
  • NPI 1427095488
  Care Compare affiliation
• Woodford Hospital LLC

  dba Bluegrass Community Hospital

  • Critical Access Hospital
  • Versailles, KY
  • NPI 1588745012
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1184670325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Outer Loop",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402194056",
            "country_code": "US",
            "telephone_number": "502-968-6226",
            "fax_number": "502-966-5562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Hamilton Cleves Rd",
            "address_purpose": "LOCATION",
            "city": "Cleves",
            "state": "OH",
            "postal_code": "45002",
            "country_code": "US",
            "telephone_number": "513-215-6400",
            "fax_number": "513-215-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPLES MATTISON",
        "first_name": "LYDIA",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "01079668A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64053473",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "35.069396",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "37175",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lydia.samples.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "601 Versailles Rd",
            "city": "Frankfort",
            "state": "KY",
            "country_code": "US",
            "postal_code": "406013857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Joseph Russell, OTR/L
• RX Therapy Managment
• Abigail Renee Sadler
• Carol Blanken Saenger, L.P.C.C.
• Lily Saman
• Sara Sanders
• Cori Biggers Sandoval, PT, DPT
• Paran Saranga, MD
• Rachel K Sargent, MS, ATC
• Angela Saxena, M.D.

• Family Medicine Physician in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.