DR. JESSE CLEMENT WOODALL IV DO
NPI 1609561711
Student in an Organized Health Care Education/Training Program in Lexington, KY
About Dr. Jesse Clement Woodall Iv Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE CLEMENT WOODALL IV DO (NPI 1609561711) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jesse Clement Woodall Iv Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Jesse Woodall's NPI number?
The NPI number for Jesse Woodall is 1609561711. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is Jesse Woodall located?
Jesse Woodall practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 257-1000.
What is Jesse Woodall's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jesse Woodall enrolled in Medicare?
Yes. Jesse Woodall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jesse Woodall was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Jesse Clement Woodall IV, DO · NPI 1609561711
Student in an Organized Health Care Education/Training Program provider in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1609561711 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, Lexington, KY 40536-7001
- **Phone:** (859) 257-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1609561711) · Data from the CMS NPPES public registry.