NPIMap

Organization Active NPI

Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
National Provider Identifier
1245900794
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EXCEPTIONAL CARE SERVICES LLC
Practice address
1050 Chinoe Rd Ste 350
Lexington, KY 40502-6571
Phone
(859) 255-0075
Fax
(859) 281-5150
NPI assigned
Sep 16, 2021
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Tom Watts
Title
President & Ceo
Phone
(859) 255-0075

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Internal Medicine Physician 207R00000X
Primary Care Clinic/Center 261QP2300X Primary
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

1050 Chinoe Rd Ste 350
Lexington, KY 40502-6571

Mailing address

1050 Chinoe Rd Ste 350
Lexington, KY 40502-6571
Phone (859) 255-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, WV, IN, TN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20211206001293 KY Part B Supplier - Clinic/Group Practice 5799175741 Receives reassigned benefits from 24 practitioners
Practice locations: Somerset, KY; Vanceburg, KY; Stanford, KY; Louisville, KY; Lexington, KY; Greensburg, KY; Frankfort, KY
O20221021001400 OH Part B Supplier - Clinic/Group Practice 5799175741 Receives reassigned benefits from 21 practitioners
Practice locations: Dayton, OH; Wheelersburg, OH; Kirtland, OH; Hamilton, OH; Edgerton, OH; Cincinnati, OH
O20221123001003 WV Part B Supplier - Clinic/Group Practice 5799175741 Receives reassigned benefits from 5 practitioners
Practice locations: Glasgow, WV; Morgantown, WV; Saint Albans, WV
O20230329001512 IN Part B Supplier - Clinic/Group Practice 5799175741 Receives reassigned benefits from 21 practitioners
Practice locations: Greentown, IN; Indianapolis, IN; Martinsville, IN; Milan, IN; New Albany, IN; Greensburg, IN
O20230516002317 TN Part B Supplier - Clinic/Group Practice 5799175741 Receives reassigned benefits from 14 practitioners
Practice locations: New Tazewell, TN; Smyrna, TN; Dover, TN

National Provider Directory

National Provider Directory
Tax ID family
Exceptional Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (502) 861-5581

145 Tower Cir
Somerset, KY 42503
Phone (606) 679-4578

537 Spring St
Dover, TN 37058
Phone (502) 338-8884

902 Buchanan Rd
New Tazewell, TN 37825
Phone (423) 626-7297

Practitioners & affiliated clinicians

Practitioners 77

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 77

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1245900794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "859-255-0075"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.