Active NPI
Bibb Addiction & Obesity Center
- Addiction Medicine (Internal Medicine) Physician
- Lexington, KY
National Provider Identifier
1821783259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- BIBB ADDICTION & OBESITY CENTER
- Practice address
- 365 Waller Ave Ste 100
Lexington, KY 40504-2924 - Phone
- (859) 309-1829
- NPI assigned
- Apr 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Carter
- Title
- Billing Manager
- Phone
- (859) 737-0904
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary | ||
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X |
Addresses
Primary practice location
365 Waller Ave Ste 100
Lexington, KY 40504-2924
Mailing address
365 Waller Ave Ste 100
Lexington, KY 40504-2924
National Provider Directory
National Provider DirectoryLocations
365 Waller Ave
Ste 100
Lexington, KY 40504
Phone (859) 309-1829
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1568615847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1821783259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 WALLER AVE STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 WALLER AVE STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042924",
"telephone_number": "859-309-1829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIBB ADDICTION & OBESITY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "859-737-0904"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.