Active NPI
James M. Collier III, MD, PSC
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1306897012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20763
- Legal business name
- JAMES M. COLLIER III, MD, PSC
- Practice address
- 220 Cedar St
Ste 401
Lexington, KY 40508-2986 - Phone
- (859) 425-1117
- Fax
- (859) 425-1130
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Collier III, M.D.
- Title
- Medical Doctor
- Phone
- (859) 425-1117
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20763 | KY | Primary |
Addresses
Primary practice location
220 Cedar St
Ste 401
Lexington, KY 40508-2986
Mailing address
169 Burt Rd
Lexington, KY 40503-2455
Phone (859) 278-9242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100079930 | Medicaid | KY | |
| DC1667 | Other | KY | RAILRAID MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
135 E Maxwell St
Ste 303
Lexington, KY 40508
Phone (859) 255-5053
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1942252606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400544000000",
"number": "1306897012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 BURT RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032455",
"telephone_number": "859-278-9242",
"fax_number": "859-278-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 CEDAR ST",
"address_2": "STE 401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082986",
"telephone_number": "859-425-1117",
"fax_number": "859-425-1130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES M. COLLIER III, MD, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2014-05-20",
"status": "A",
"authorized_official_last_name": "COLLIER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "859-425-1117",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "20763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100079930",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAID MEDICARE",
"identifier": "DC1667",
"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 May 20, 2014; 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.