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Providence Medical LLC

Family Medicine Physician in Lexington, KY · enumerated 2024 · authorized official Amy Mckissick, Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871312918

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Medical LLC
Practice address 424 Lewis Hargett Cir Ste 250, Lexington, KY, 40503
Phone (803) 240-2847
Enumeration date Oct 7, 2024
Last updated in NPPES Oct 7, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Mckissick
Title Nurse Practitioner
Phone (803) 240-2847

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Providence Medical LLC?
The NPI for Providence Medical LLC is 1871312918, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Medical LLC?
NPPES lists Amy Mckissick (Nurse Practitioner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-07.