Lexington Primary Care LLC

Organization Active NPI Family Medicine Physician · Lexington, KY

NPI 1194741017 · NPPES record last updated Oct 10, 2013

Key facts

NPI
1194741017
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
18482 (KY)
Legal business name
LEXINGTON PRIMARY CARE LLC
Practice address
1055 Wellington Way
Suite 215
Lexington, KY 40513-1259
Phone
(859) 422-4369
Fax
(859) 422-4359
NPI assigned
Jul 14, 2006
Organization subpart
No

Authorized official

Name
Ann S Giles
Title
Administrator Owner
Phone
(859) 219-2828

Practitioners 51

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

View all 51

National Provider Directory

Locations

1055 Wellington Way
Ste 215
Lexington, KY 40513
Phone (859) 422-4369

1055 Wellington Way
Ste 210
Lexington, KY 40513
Phone (859) 422-4340

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X 18482 KY Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X KY
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X
Women's Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LW0102X

Addresses

Primary practice location

1055 Wellington Way
Suite 215
Lexington, KY 40513-1259

Mailing address

1055 Wellington Way
Suite 275
Lexington, KY 40513-1259
Phone (859) 219-2828

Other identifiers

IdentifierTypeStateIssuer
65941338MedicaidKY
78905205MedicaidKY

Other providers in Lexington, KY

All providers in Lexington, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.