Provider Demographics
NPI:1932120011
Name:WINKLEY, JAMES MORRIS II (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MORRIS
Last Name:WINKLEY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:859-260-4330
Mailing Address - Fax:859-260-4334
Practice Address - Street 1:2101 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2518
Practice Address - Country:US
Practice Address - Phone:859-260-4330
Practice Address - Fax:859-260-4334
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY366132084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACB5773OtherRR MEDICARE GRP
KY37903705OtherMEDICAID LAB GRP
GA130025682OtherRR MEDICARE PIN
KY4000501OtherMEDICARE LAB GRP
KY64039514Medicaid
KY37903705OtherMEDICAID LAB GRP
KY4000501OtherMEDICARE LAB GRP