Active NPI
Lexington Clinic
- Family Medicine Physician
- Lexington, AL
National Provider Identifier
1497819734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00019246
- Legal business name
- LEXINGTON CLINIC
- Practice address
- 11631 Highway 101
Lexington, AL 35648-3249 - Phone
- (256) 229-6691
- Fax
- (256) 229-6866
- NPI assigned
- Dec 21, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Diana McCutcheon, M.D.
- Title
- Owner
- Phone
- (256) 229-6691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00019246 | AL | Primary |
Addresses
Primary practice location
11631 Highway 101
Lexington, AL 35648-3249
Mailing address
11631 Highway 101
Lexington, AL 35648-3249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51521666 | Other | AL | BLUE CROSS ID |
National Provider Directory
National Provider DirectoryLocations
11631 Highway 101
Lexington, AL 35648
Phone (256) 229-6262
Interoperability endpoints
- https://api.platform.athenahealth.com/13059/brand/1/csg/21/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Rogersville, AL
- NPI 1760484380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497819734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11631 HIGHWAY 101",
"city": "LEXINGTON",
"state": "AL",
"postal_code": "356483249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11631 HIGHWAY 101",
"city": "LEXINGTON",
"state": "AL",
"postal_code": "356483249",
"telephone_number": "256-229-6691",
"fax_number": "256-229-6866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCUTCHEON",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-229-6691",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "00019246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "51521666",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.