Individual provider Active NPI

Lindy Nettleton

  • Family Medicine Physician
  • Grayson, KY
National Provider Identifier
1447662077
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04270 Issued in KY
Practice address
645 Interstate Dr
Grayson, KY 41143-1704
Phone
(606) 474-0669
Fax
(606) 474-0376
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36691 SC
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 04270 KY Primary

Addresses

Primary practice location

645 Interstate Dr
Grayson, KY 41143-1704

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7723

Other practice location 1

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9334

Other practice location 2

732 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 849-2323

Other identifiers 1

IdentifierTypeStateIssuer
PENDNGMedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723002799 KY Practitioner - Family Practice 1557635273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1 W McDonald Pkwy
Maysville, KY 41056-1164
Phone (859) 509-5636

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

525 Tucker Dr
Maysville, KY 41056-9182
Phone (859) 509-5636

710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157

927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
04270KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowview Physician Practice, LLC Family Medicine Current Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Meadowview Physician Practice LLC CurrentSince May 29, 2018 Accepting new patients
Meadowview Physician Practice LLC CurrentSince May 29, 2018 Accepting new patients
Southeastern Physician Services PC CurrentSince Jun 11, 2019 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Sep 5, 2023 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

732 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 849-2323

645 Interstate Dr
Grayson, KY 41143
Phone (606) 474-0669

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: lindy.nettleton.1@13661.direct.athenahealth.com
  • Direct secure messaging: lindy.nettleton.1@19475.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1447662077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7723",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 INTERSTATE DR",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431704",
            "telephone_number": "606-474-0669",
            "fax_number": "606-474-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012302",
            "country_code": "US",
            "telephone_number": "740-592-9334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Elizaville Ave",
            "address_purpose": "LOCATION",
            "city": "Flemingsburg",
            "state": "KY",
            "postal_code": "41041",
            "country_code": "US",
            "telephone_number": "606-849-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTLETON",
        "first_name": "LINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36691",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDNG",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.