Active NPI
Tina Denise Fawns, MD
- Family Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37312
- Practice address
- 2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504 - Phone
- (859) 323-6371
- Fax
- (859) 323-6661
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37312 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Mailing address
2195 Harrodsburg Rd
Suite 125
Lexington, KY 40504
Phone (859) 323-6712
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2619152 | Medicaid | OH | |
| 3810003773 | Medicaid | WV | |
| 64068117 | Medicaid | KY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800
2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426
Hospital & facility affiliations
- University of Kentucky Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Family Medicine | Current | Accepting new patients |
| St. Claire Medical Center, Inc | Past | Accepting new patients | |
| St. Claire Medical Center Inc. | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232
234 Medical Cir
Morehead, KY 40351
Phone (606) 784-6641
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386
Interoperability endpoints
- tfawns32800@ukhcdirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Family Medicine
-
- Rural Health Clinic/Center
- Sandy Hook, KY
- NPI 1134267594
-
- Rural Health Clinic/Center
- Olive Hill, KY
- NPI 1285771667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1417904293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD",
"address_2": "SUITE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40504",
"telephone_number": "859-323-6712",
"fax_number": "859-323-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043504",
"telephone_number": "859-323-6371",
"fax_number": "859-323-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWNS",
"first_name": "TINA",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "37312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2619152",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003773",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64068117",
"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 Jun 22, 2017; 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.