Fayette Family Medicine, PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34084 Issued in KY

Legal business name

FAYETTE FAMILY MEDICINE, PSC

Practice address

1780 Nicholasville Rd Ste 604
BLDG B
Lexington, KY 40503-1440

Phone

(859) 276-5566

Fax

(859) 276-5562

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Skaggs, M.D.NPI 1932174778

Title

President

Phone

(859) 276-5566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Andrea Skaggs, MD

  • Family Medicine Physician
  • Corydon, IN
  • NPI 1932174778
  NPD (past) Authorized official
• Elizabeth Jane Kennedy, PAC

  • Physician Assistant
  • Lexington, KY
  • NPI 1063528107
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598896938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD STE 604",
            "address_2": "BLDG B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031440",
            "telephone_number": "859-276-5566",
            "fax_number": "859-276-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD STE 604",
            "address_2": "BLDG B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031440",
            "telephone_number": "859-276-5566",
            "fax_number": "859-276-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE FAMILY MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-276-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Martin Favetto, MD
• Tina Denise Fawns, MD
• Fayette County Public Schools
• Fayette Eye Care & Dry Eye Spa
• Fayette Family Dentistry
• Fayette Urban County Health Department
• Fayette Urban County Health Department
• Deborah A Featherstone, LPCC
• Anthony S. Feck, DMD
• Kelsey Ann Feck, DPT

• Family Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Medicine Physician in Kentucky

• 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.

Verify at the official NPI Registry.