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

Jianxia Wang

Individual provider Family Medicine Physician · NPI 1457693954

Jianxia Wang is a Family Practice in Crestwood, Kentucky. Qualified in 2001, 25 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Kentucky.

Years since qualifying
25
Licensed in
GA, KY
In the registry since
2013
Specialties on file
3

Practice location Address checks out

6411 Veterans Memorial Pkwy
Crestwood, KY 40014-8698
Phone: (502) 241-8611
Fax: (502) 241-4175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 48857 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 103281 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457693954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2013
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Crestwood