Individual provider Active NPI

Tonya Justice, D.O.

  • General Practice Physician
  • Lexington, KY
National Provider Identifier
1689814675
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
03387 Issued in KY
Practice address
830 S Limestone
Lexington, KY 40536-8525
Phone
(859) 323-2778
Fax
(859) 257-8708
NPI assigned
Mar 3, 2009
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 03387 KY
Pediatrics Physician 208000000X 03387 KY
General Practice Physician 208D00000X 03387 KY Primary

Addresses

Primary practice location

830 S Limestone
Lexington, KY 40536-8525

Mailing address

PO Box 636493
Cincinnati, OH 45263-6493
Phone (513) 981-5130

Other practice location 1

1100 Richmond Rd
Irvine, KY 40336-7231
Phone (606) 723-7706

Other practice location 2

2224 Market Garden Ln
Lexington, KY 40509-8525
Phone (859) 396-6101

Other identifiers 1

IdentifierTypeStateIssuer
7100177230MedicaidKY

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
I20120607000613 KY Practitioner - Pediatric MedicinePractitioner - Family Practice 7416111273 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Jul 27, 2015 Accepting new patients
University of Kentucky CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Jul 27, 2015 Accepting new patients
Pediatric Specialty Clinic, LLC. Pediatrics PastSince Aug 14, 2011 Accepting new patients
Lexington Primary Care LLC Family Medicine PastSince Jan 5, 2004 Accepting new patients
Madison Primary Care, LLC Family Medicine Past Accepting new patients
Horizon Healthcare Center LLC Pediatrics PastSince Mar 17, 2019 Accepting new patients

Locations

749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153

1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

830 S Limestone
Lexington, KY 40536
Phone (859) 257-6451

830S Limestone
Lexington, KY 40536
Phone (859) 323-8072

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1689814675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636493",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636493",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405368525",
            "telephone_number": "859-323-2778",
            "fax_number": "859-257-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "KY",
            "postal_code": "403367231",
            "country_code": "US",
            "telephone_number": "606-723-7706",
            "fax_number": "606-726-9410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2224 Market Garden Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405098525",
            "country_code": "US",
            "telephone_number": "859-396-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "TONYA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03387",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03387",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "03387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100177230",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.