1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Internal Medicine
  6. NPI Profile

2ND CHANCE
NPI 1215348214
Internal Medicine - Addiction Medicine in Lexington, KY

Active since May 13, 2014CLIA Certified · 2 labs
1420 N BROADWAY, LEXINGTON, KY 40505(859) 368-9874(859) 368-8822 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2019, Oct 19, 2018, Jan 12, 2016 (3 updates tracked since 2016).

About 2nd Chance NPPES

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

2ND CHANCE (NPI 1215348214) is a healthcare organization registered as an addiction medicine in Lexington, Kentucky and active in the NPI registry since May 2014. The organization holds 2 active CLIA laboratory certificates and lists Deborah Farmer, Mgr, as its authorized official.

NPPES Registry Identity

NPI1215348214
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business Name2ND CHANCE
Location Address1420 N BROADWAYLexington, KY 40505-3155
Mailing Address1420 N BroadwayLexington, KY 40505-3155 · (859) 368-8820 · Fax (859) 368-8822
Phone(859) 368-9874
Fax(859) 368-8822
Organization SubpartNo
Authorized OfficialDeborah FarmerMgr · (859) 368-8820
Enumeration DateMay 13, 2014
Last NPPES UpdateMay 3, 20193 updates tracked since enumeration
✔ NPI 1215348214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
1420 N BROADWAY, Lexington, KY 40505
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100338550KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

2nd Chance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to 2nd Chance, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Clinical Social Worker3
Internal Medicine3
Nurse Practitioner2
Psychiatry2
Addiction Medicine1
Anesthesiology1
Diagnostic Radiology1

Clinicians, nearest first (13)

Thomas Howard Iii, M.D.
Internal Medicine
NPI 1457580003
135 E MAXWELL ST STE 401
Lexington, KY 40508
(859) 323-3900
✔ PECOS✔ Accepts Medicare2.0 mi
Lisa Innes, CSW
Clinical Social Worker
NPI 1588796668
845 ANGLIANA AVE
Lexington, KY 40508
(859) 323-9321
✔ PECOS✔ Accepts Medicare2.4 mi
David Wrede, M.D.
Internal Medicine
NPI 1104865674
1101 VETERANS DR
Lexington, KY 40502
(859) 233-4511
✔ PECOS✔ Accepts Medicare2.9 mi
Kari Wilson, MD
Diagnostic Radiology
NPI 1710322631
UNIVERSITY OF KENTUCKY 800 ROSE STREET
Lexington, KY 40536
(859) 232-0693
✔ PECOS✔ Accepts Medicare2.9 mi
Jon Ragland, MD
Anesthesiology
NPI 1376743203
1740 NICHOLASVILLE RD
Lexington, KY 40503
(859) 260-6100
✔ PECOS✔ Accepts Medicare3.8 mi
Sidney Sebastian, LCSW
Clinical Social Worker
NPI 1790452894
177 BURT RD
Lexington, KY 40503
(859) 687-9725
✔ PECOS✔ Accepts Medicare4.6 mi
Mallory Mullins
Nurse Practitioner
NPI 1992209324
3175 BEAUMONT CENTRE CIR
Lexington, KY 40513
(859) 576-0058
✔ PECOS✔ Accepts Medicare5.4 mi
Kenneth Brodsky, M.D.
Internal Medicine
NPI 1093764847
5 LINVILLE DR SUITE 104
Paris, KY 40361
(859) 987-8432
✔ PECOS✔ Accepts Medicare17 mi
Rebekah Mattingly, APRN
Nurse Practitioner
NPI 1578013587
525 TUCKER DR
Maysville, KY 41056
(606) 759-9921
✔ PECOS✔ Accepts Medicare54 mi
Benjamin Marshall, M.D.
Addiction Medicine
NPI 1740574052
80 HIGHWAY 2227
Somerset, KY 42503
(513) 393-0969
✔ PECOS✔ Accepts Medicare67 mi
Colleen Ryan, M.D.
Psychiatry
NPI 1649292376
MADISON STATE HOSPITAL 711 GREEN RD.
Madison, IN 47250
(812) 265-7336
✔ PECOS68 mi
Angela Durham, M.D.
Psychiatry
NPI 1265695407
101 N 7TH ST
Louisville, KY 40202
(833) 351-8255
✔ PECOS✔ Accepts Medicare71 mi
Alysia Harlow, MSW
Clinical Social Worker
NPI 1306370325
115 ROCKWOOD LN
Hazard, KY 41701
(800) 575-7223
✔ PECOS✔ Accepts Medicare87 mi

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

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 18D2042957

2nd Chance · Lexington, KY
Active · expires Feb 9, 2028
CLIA Number18D2042957
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Jonathan L. Hart
Laboratory Phone(859) 368-8820
Laboratory Location2nd Chance1420 North Broadway, Lexington, KY 40505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 18D2212741

2nd Chance · Somerset, KY
Active · expires Apr 16, 2028
CLIA Number18D2212741
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorMs. Deborah H. Farmer
Laboratory Phone(859) 368-8820
Laboratory Location2nd Chance310 Langdon Street, Somerset, KY 42503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 2nd Chance's NPI number?

The NPI number for 2nd Chance is 1215348214. It was assigned to this organization in the NPPES registry on May 13, 2014.

Where is 2nd Chance located?

2nd Chance is located at 1420 N Broadway, Lexington, KY 40505. The listed phone number is (859) 368-9874.

What is 2nd Chance's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is 2nd Chance enrolled in Medicare?

Yes. 2nd Chance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 2nd Chance?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to 2nd Chance. 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. The largest specialties are Clinical Social Worker (3), Internal Medicine (3) and Nurse Practitioner (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does 2nd Chance hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does 2nd Chance accept?

Health plans from Anthem Blue Cross and Blue Shield list 2nd Chance 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 2nd Chance was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.