LEXINGTON CLINIC CORP – Family Medicine Physician, NPI 1780652107
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LEXINGTON CLINIC CORP
PO BOX 848406
BOSTON, MA 022848406
Phone: (877) 848-1463
Fax: (615) 465-3007
Type: Mailing
200 W CHURCH ST
LEXINGTON, TN 383512038
Phone: (731) 968-3646
Fax: (731) 968-1705
Type: Mailing
5001 E Main St
Erin, TN 370614115
Phone: (931) 289-4211
Type: Location
2545 N Washington Ave
Brownsville, TN 380121610
Phone: (731) 307-3777
Type: Location
2718 Squirrel Hollow Dr
Linden, TN 370963526
Phone: (731) 968-3646
Type: Location
18688 Jeb Stuart Hwy
Stuart, VA 241711559
Phone: (276) 692-9020
Type: Location
249, West Church Street, Lexington, Henderson County, West Tennessee, Tennessee, 38351, United States
LEXINGTON, TN 383512013
Phone: (731) 968-4477
Fax: (731) 968-2421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060227000599 | O | Clinic/Group Practice | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02284)
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