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CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD
NPI 1790492783
Internal Medicine in Lexington, KY

Active since October 31, 2022CLIA Certified · 2 labs
3101 RICHMOND RD STE 190, LEXINGTON, KY 40509(859) 309-7613(877) 722-0592 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Dec 21, 2022, Oct 31, 2022 (3 updates tracked since 2022).

About Centerwell Senior Primary Care-richmond Road NPPES

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

CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD (NPI 1790492783) is a healthcare organization registered as an internal medicine in Lexington, Kentucky and active in the NPI registry since October 2022. The organization holds 2 active CLIA laboratory certificates and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1790492783
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE KY PSC
Location Address3101 RICHMOND RD STE 190Lexington, KY 40509-1525
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(859) 309-7613
Fax(877) 722-0592
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 31, 2022
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1790492783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
3101 RICHMOND RD STE 190, Lexington, KY 40509
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-richmond Road

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 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 Waiver 18D2276887

Centerwell Senior Primary Care - Richmond Road · Lexington, KY
Active · expires Feb 15, 2027
CLIA Number18D2276887
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorDr. Erica Savage-Jeter
Laboratory Phone(859) 309-7613
Laboratory LocationCenterwell Senior Primary Care - Richmond Road3101 Richmond Rd, Ste 190, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2278841

Centerwell Senior Primary Care - Regency Centre · Lexington, KY
Active · expires Mar 23, 2027
CLIA Number18D2278841
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorDr. Erica Savage-Jeter
Laboratory Phone(859) 309-7613
Laboratory LocationCenterwell Senior Primary Care - Regency Centre171 W Lowry Ln, St 180, Lexington, KY 40503
CLIA data matches this NPI record on: 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.

ELEIDA TUR OLIVA MD
Family Medicine
3101 RICHMOND RD STE 190
LEXINGTON, KY 40509
Fayette County (859) 309-7613

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 Centerwell Senior Primary Care Ky Psc's NPI number?

The NPI number for Centerwell Senior Primary Care Ky Psc is 1790492783. It was assigned to this organization in the NPPES registry on October 31, 2022. The provider is doing business as Centerwell Senior Primary Care-Richmond Road.

Where is Centerwell Senior Primary Care Ky Psc located?

Centerwell Senior Primary Care Ky Psc is located at 3101 Richmond Rd Ste 190, Lexington, KY 40509. The listed phone number is (859) 309-7613.

What is Centerwell Senior Primary Care Ky Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Ky Psc 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.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Ky Psc was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.