MEDICARE: NOMAD IV LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1265372874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOMAD IV LLC

Provider Business Mailing Address
First Line	:	699 GINGERMILL LN
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1917
Country	:	US
Telephone Number	:	606-367-3681
Fax Number	:

Provider Business Practice Location Address
First Line	:	699 GINGERMILL LN
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1917
Country	:	US
Telephone Number	:	606-367-3681
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TREVOR JAMES STOVALL
Credential	:	RN
Telephone Number	:	606-367-3681

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

Similar Medicare Providers

1912181561 — JOAN GARTIN MACCC/SLP
Practice Location Address:

663 GINGERMILL LN
LEXINGTON, KY
40509-1917

Practice Phone: 859-533-0754
Practice Fax: 859-543-8263

1720072697 — SANFORD SMOOT MD
Practice Location Address:

18 HOLMES RD
LEXINGTON, MA
02420-1917

Practice Phone: 781-862-1429
Practice Fax:

1255739454 — DDM RADIOLOGY PC
Practice Location Address:

18 HOLMES RD
LEXINGTON, MA
02420-1917

Practice Phone: 781-258-0197
Practice Fax: 781-862-5946

1720928963 — OLIVIA DAVIS MD
Practice Location Address:

245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792

Practice Phone: 859-323-6861
Practice Fax:

1790278000 — MIRANDA DOUGOUD MSW, LCSW
Practice Location Address:

501 DARBY CREEK RD STE 40
LEXINGTON, KY
40509-1671

Practice Phone: 859-287-4646
Practice Fax:

1124968011 — MARGARET STULL MD
Practice Location Address:

245 FOUNTAIN CT STE 225
LEXINGTON, KY
40509-2794

Practice Phone: 859-323-6861
Practice Fax:

Directions to “NOMAD IV LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.