HEALTHSOURCE OF SOUTHEAST LEXINGTON INC.
NPI 1104081306
Chiropractor in Lexington, KY

Q: What is Healthsource Of Southeast Lexington Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since July 28, 2008

4101 TATES CREEK CENTRE DR, SUITE 132, LEXINGTON, KY 40517(859) 272-5460(859) 272-5463 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Healthsource Of Southeast Lexington Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF SOUTHEAST LEXINGTON INC. (NPI 1104081306) is a healthcare organization registered as a chiropractor in Lexington, Kentucky and active in the NPI registry since July 2008. The organization lists Michael Newell Pugh, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1104081306

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameHEALTHSOURCE OF SOUTHEAST LEXINGTON INC.

Location Address4101 TATES CREEK CENTRE DR, SUITE 132Lexington, KY 40517-3066

Mailing Address4101 Tates Creek Centre Dr, Suite 132Lexington, KY 40517-3066 · (859) 272-5460 · Fax (859) 272-5463

Phone(859) 272-5460

Fax(859) 272-5463

Organization SubpartNo

Authorized OfficialMichael Newell PughChiropractor · (859) 272-5460

Enumeration DateJuly 28, 2008

Last NPPES UpdateNovember 18, 2009

✔ NPI 1104081306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in KY · 4578

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4101 TATES CREEK CENTRE DR, Lexington, KY 40517

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Of Southeast Lexington Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Healthsource Of Southeast Lexington Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Michael Pugh, D.C.

Chiropractic

NPI 1255365706

148 W TIVERTON WAY SUITE 140
Lexington, KY 40503

(859) 272-5460

1.9 mi

Joey Creekbaum, APRN, FNP-BC

Nurse Practitioner

NPI 1639802515

800 ROSE ST
Lexington, KY 40536

(859) 257-1000

✔ PECOS✔ Accepts Medicare4.1 mi

Leighnia Nance, RN

Nurse Practitioner

NPI 1881066124

3099 HELMSDALE PL
Lexington, KY 40509

(859) 258-6401

✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Southeast Lexington Inc.'s NPI number?

The NPI number for Healthsource Of Southeast Lexington Inc. is 1104081306. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Healthsource Of Southeast Lexington Inc. located?

Healthsource Of Southeast Lexington Inc. is located at 4101 Tates Creek Centre Dr Suite 132, Lexington, KY 40517. The listed phone number is (859) 272-5460.

What is Healthsource Of Southeast Lexington Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Healthsource Of Southeast Lexington Inc. enrolled in Medicare?

Yes. Healthsource Of Southeast Lexington Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Southeast Lexington Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Healthsource Of Southeast Lexington Inc., in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthsource Of Southeast Lexington Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Healthsource Of Southeast Lexington Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthsource Of Southeast Lexington Inc. was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.