NPIMap

Organization Active NPI

Lexington Clinic Corp

  • Family Medicine Physician
  • Lexington, TN
National Provider Identifier
1780652107
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEXINGTON CLINIC CORP
Practice address
200 W Church St
Lexington, TN 38351-2038
Phone
(731) 968-3646
Fax
(731) 967-1202
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Larry Henson
Title
RCD
Phone
(336) 944-6420

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

200 W Church St
Lexington, TN 38351-2038

Mailing address

200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646

Other practice location 1

5001 E Main St
Erin, TN 37061-4115
Phone (931) 289-4211

Other practice location 2

2718 Squirrel Hollow Dr
Linden, TN 37096-3526
Phone (731) 968-3646

Other practice location 3

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone (276) 692-9020 ext. 46420

Other practice location 4

2545 N Washington Ave
Brownsville, TN 38012-1610
Phone (731) 307-3777

Other identifiers 1

IdentifierTypeStateIssuer
3732906MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060227000599 TN Part B Supplier - Clinic/Group Practice 2466468558 Receives reassigned benefits from 53 practitioners
Practice locations: Erin, TN; Lexington, TN; Linden, TN; Brownsville, TN
O20260319002920 VA Part B Supplier - Clinic/Group Practice 2466468558 Receives reassigned benefits from 12 practitioners
Practice locations: Stuart, VA

National Provider Directory

National Provider Directory

Locations

2545 N Washington Ave
Ste 2
Brownsville, TN 38012

90 Benwood Ave
Lexington, TN 38351
Phone (731) 967-0700

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1780652107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-967-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 E Main St",
            "address_purpose": "LOCATION",
            "city": "Erin",
            "state": "TN",
            "postal_code": "370614115",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2718 Squirrel Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "TN",
            "postal_code": "370963526",
            "country_code": "US",
            "telephone_number": "731-968-3646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18688 Jeb Stuart Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "VA",
            "postal_code": "241711559",
            "country_code": "US",
            "telephone_number": "276-692-9020 x46420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TN",
            "postal_code": "380121610",
            "country_code": "US",
            "telephone_number": "731-307-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEXINGTON CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "RCD",
        "authorized_official_telephone_number": "336-944-6420"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732906",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.