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: July 19, 2026.

  • Organization
  • Family Medicine

About PROVIDENCE MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Providence Medical Llc, a primary care provider established in Lexington, Kentucky operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1871312918 assigned on October 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Amy Mckissick Np (Nurse Practitioner)

NPI
1871312918 Verify this NPI
Provider Name
PROVIDENCE MEDICAL LLC
Entity Type
Organization
Location Address
424 LEWIS HARGETT CIR STE 250 LEXINGTON, KY 40503
Location Phone
(803) 240-2847
Mailing Address
1301 SUMMERVILLE AVE COLUMBIA, SC 29201
Mailing Phone
(803) 240-2847
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2024
Last Update Date
10-07-2024
Code Navigator

A primary care provider (PCP) like Providence Medical Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1501 Main St Ste 501
    Columbia, SC 29201
    (803) 240-2847

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY MCKISSICK NP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(803) 240-2847

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
424 LEWIS HARGETT CIR STE 250
LEXINGTON, KY 40503
Dentist
424 LEWIS HARGETT CIR STE 250
LEXINGTON, KY 40503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871312918, enumerated as an "organization" on October 07, 2024.

The provider is located at 424 LEWIS HARGETT CIR STE 250 LEXINGTON, KY 40503 and the phone number is (803) 240-2847.

Family Medicine with taxonomy code 207Q00000X.