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

Lydia C. Samples Mattison, MD

Individual provider Family Medicine Physician · NPI 1184670325

Lydia C. Samples Mattison, MD is a Family Practice in Frankfort, Kentucky. Graduated from Ohio State University College of Medicine in 1994, 32 years ago. Practices with Proactive Therapy, Inc, a 122-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
32
Trained at
Ohio State University College of Medicine
Licensed in
KY, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Versailles Rd
Frankfort, KY 40601-3857
Phone: (502) 695-3946
Show map & directions

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

Additional practice locations (2)

  • 5100 Outer Loop, Louisville, KY 40219-4056 — (502) 968-6226
  • 4350 Hamilton Cleves Rd, Cleves, OH 45002 — (513) 215-6400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 37175 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35069396 (OH)

Record details

NPI number1184670325
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Proactive Therapy, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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