BAPTIST FAMILY MEDICINE AT TATES CREEK
NPI 1164795233
Family Medicine in Lexington, KY

Active since February 20, 2012CLIA 18D0323514 · Waiver
4071 TATES CREEK CENTRE DRIVE, SUITE 202, LEXINGTON, KY 40517(859) 273-3888(859) 971-4601 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Baptist Family Medicine At Tates Creek NPPES

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

BAPTIST FAMILY MEDICINE AT TATES CREEK (NPI 1164795233) is a healthcare organization registered as a family medicine in Lexington, Kentucky and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Gail Fleckinstein, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1164795233
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST FAMILY MEDICINE AT TATES CREEK
Location Address4071 TATES CREEK CENTRE DRIVE, SUITE 202Lexington, KY 40517
Mailing Address4071 Tates Creek Centre Drive, Suite 202Lexington, KY 40517 · (859) 273-3888 · Fax (859) 971-4601
Fax(859) 971-4601
Organization SubpartYesParent: Baptist Physicians Lexington, Inc.
Authorized OfficialGail FleckinsteinRevenue Cycle Director · (859) 971-4633
Enumeration DateFebruary 20, 2012
Last NPPES UpdateApril 22, 2013
NPI 1164795233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3002500 (KY)
4071 TATES CREEK CENTRE DRIVE, Lexington, KY 40517

Other Names 1

Doing Business AsBaptist Family Medicine At Tates Creek

Other Identifiers 2

Medicaid7100076480KY
Medicare PIN00574KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0323514

Baptist Family Medicine At Tates Creek · Lexington, KY
Active · expires Nov 21, 2027
CLIA Number18D0323514
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorDr. Kendell Koehler
Laboratory Phone(859) 273-3888
Laboratory LocationBaptist Family Medicine At Tates Creek1099 Duval Street Suite #100, Lexington, KY 40515
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4071 TATES CREEK CENTRE DRIVE, SUITE 100
LEXINGTON, KY 40517

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 Baptist Family Medicine At Tates Creek's NPI number?

The NPI number for Baptist Family Medicine At Tates Creek is 1164795233. It was assigned to this organization in the NPPES registry on February 20, 2012.

Where is Baptist Family Medicine At Tates Creek located?

Baptist Family Medicine At Tates Creek is located at 4071 Tates Creek Centre Drive Suite 202, Lexington, KY 40517. The listed phone number is (859) 273-3888.

What is Baptist Family Medicine At Tates Creek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Baptist Family Medicine At Tates Creek hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0323514) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baptist Family Medicine At Tates Creek was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.