Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Medical LLC

Organization Family Medicine Physician · NPI 1871312918

Providence Medical LLC is a Family Medicine Physician in Lexington, Kentucky. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

424 Lewis Hargett Cir Ste 250
Lexington, KY 40503-3687
Phone: (803) 240-2847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Main St Ste 501, Columbia, SC 29201-5801 — (803) 240-2847

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1871312918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy McKissick — Nurse Practitioner · (803) 240-2847
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address1301 Summerville Ave, Columbia, SC 29201-1927

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