Donald Ray Avery Jr., NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3012133 Issued in KY

Practice address

1050 Chinoe Rd Ste 350
Lexington, KY 40502-6571

Phone

(859) 255-0075

NPI assigned

Mar 1, 2018

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN, OH, WV, TN5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exceptional Care Services LLCGroup PAC ID 5799175741, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 26)

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.

• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794

  IN, OH, TN, WV

  Medicare reassignment Care Compare group NPD
• Amin's Family Practice Associates , PSC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1750307393
  Medicare reassignment NPD
• Gim of Kentucky PLLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1326411026
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IN, KY, OH, TN, WV

  Medicare reassignment NPD
• Beverly M Gaines, MD & Associates, PSC

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1265512719
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1669974119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PARK AVE, LOUISVILLE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40208",
            "telephone_number": "502-338-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3012133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Auxier, LCSW
• Jagannadha Rao Avasarala, MD, PHD
• Jaycob Bryan Avaylon
• Timothy James Averion-Mahloch, M.D.
• Avertest LLC (Averhealth)
• Zoe Marie Avery, LMFT-A
• Sarah Aviles
• Avol Kentucky
• Thomas Grant Avritt, MD
• Thulasi Babitha Avula

• Primary Care Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.

Verify at the official NPI Registry.