GEORGETOWN PEDIATRICS PSC NPI 1275179020

NPI Information

  • NPI: 1275179020
  • Provider Name: GEORGETOWN PEDIATRICS, PSC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: GEORGETOWN PEDIATRICS, PSC
  • Address: 1162 LEXINGTON RD
    GEORGETOWN, KY
    ZIP 40324
  • Phone: (502) 863-6426

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NPI Details

GEORGETOWN PEDIATRICS, PSC is a pediatrics nurse practitioner in Georgetown, KY. GEORGETOWN PEDIATRICS, PSC NPI is 1275179020. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Georgetown Pediatrics, Psc.

The provider's business location address is:

1162 LEXINGTON RD
GEORGETOWN, KY
ZIP 40324-330
Phone: (502) 863-6426
Fax: (502) 868-9724

The provider's authorized official is Johanne Goodykoontz .
The authorized official title is Office Manager and has the following contact phone number (502) 863-6426.

The enumeration date for this NPI number is 11/26/2019 and was last updated on 4/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2363LP0200XNurse PractitionerPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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