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PROVIDENCE MEDICAL LLC
NPI 1871312918
Family Medicine in Lexington, KY

Active since October 07, 2024
424 LEWIS HARGETT CIR STE 250, LEXINGTON, KY 40503(803) 240-2847 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Medical Llc NPPES

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

PROVIDENCE MEDICAL LLC (NPI 1871312918) is a healthcare organization registered as a family medicine in Lexington, Kentucky and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Columbia and lists Amy Mckissick, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1871312918
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE MEDICAL LLC
Location Address424 LEWIS HARGETT CIR STE 250Lexington, KY 40503-3687
Mailing Address1301 Summerville AveColumbia, SC 29201-1927 · (803) 240-2847
Phone(803) 240-2847
Organization SubpartNo
Authorized OfficialAmy MckissickNurse Practitioner · (803) 240-2847
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1871312918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
424 LEWIS HARGETT CIR STE 250, Lexington, KY 40503
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Secondary Practice Location 1

Location 11501 Main St Ste 501Columbia, SC 29201-5801 · Phone (803) 240-2847

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

Other Providers at the Same Location NPPES 3

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

BIG SMILES KENTUCKY PSC
Dentist
424 LEWIS HARGETT CIR STE 250
LEXINGTON, KY 40503
Fayette County (888) 833-8441
KELLIE R DRYDEN LCSW COUNSELING SERVICES
Social Worker (Clinical)
424 LEWIS HARGETT CIR STE 250
LEXINGTON, KY 40503
Fayette County (859) 806-9455
DR. CHERISE MILLER DDS
Dentist
424 LEWIS HARGETT CIR STE 250
LEXINGTON, KY 40503
Fayette County (614) 638-8131

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 Providence Medical LLC's NPI number?

The NPI number for Providence Medical LLC is 1871312918. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Providence Medical LLC located?

Providence Medical LLC is located at 424 Lewis Hargett Cir Ste 250, Lexington, KY 40503. The listed phone number is (803) 240-2847.

What is Providence Medical LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Providence Medical LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.