Providence Medical LLC
NPI 1871312918 · Family Medicine Physician · Lexington, KY
Providence Medical LLC is a Family Medicine Physician organization in Lexington, KY (NPI 1871312918).
Provider details
- NPI number
- 1871312918
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Mckissick, Nurse Practitioner(803) 240-2847
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1501 Main St Ste 501Columbia, SC 29201-5801Phone: (803) 240-2847
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Frequently asked questions
- What is Providence Medical LLC's NPI number?
- Providence Medical LLC's National Provider Identifier (NPI) is 1871312918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical LLC?
- Providence Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Medical LLC located?
- Providence Medical LLC's practice location on file with NPPES is 424 Lewis Hargett Cir Ste 250, Lexington, KY 40503-3687.
- What is Providence Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical LLC is (803) 240-2847.
- Who is the authorized official for Providence Medical LLC?
- The authorized official listed on Providence Medical LLC's NPPES record is Amy Mckissick, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical LLC's NPI active?
- Yes — Providence Medical LLC's NPI (1871312918) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.