Rebecca Jo Adams, DO
Individual provider Active NPI Family Medicine Physician · Lexington, KY
NPI 1821518655 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1821518655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04752 (KY)
- Practice address
- 100 N Eagle Creek Dr
Lexington, KY 40509-1805 - Phone
- (859) 258-4000
- Fax
- (859) 258-5177
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New Lexington Clinic PSC
Practice addresses (Care Compare)
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-4000
Hospital & facility affiliations
- Vna Health at Home
- Saint Joseph East
- Baptist Health Lexington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200717002890 | KY | Practitioner - Family Practice | 6002230422 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04752 | KY | MD | Family Medicine Physician |
| R4321 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Current |
Accepting new patients | |
| New Lexington Clinic PSC | Current |
Accepting new patients |
Locations
100 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 258-5300
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
Interoperability endpoints
- rebecca.adams@somc.medicity.net
- rebecca.adams.1@13059.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R4321 | KY | |
| Family Medicine Physician | 207Q00000X | 04752 | KY | Yes |
Addresses
Primary practice location
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0407453 | Medicaid | OH | |
| 7100670310 | Medicaid | KY |
Other providers in Lexington, KY
- Michelle Adams
- Michelle F Adams
- Misty Adams
- Paul Mark Adams Jr.
- Paul Michael Adams III
- Susan Mezger Adams
- Tammy L Adams
- Taylor Moyers Adams
- Terre Wilson Adams
- Travis Hunter Adams
All providers in Lexington, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.