BLUEGRASS DIRECT PRIMARY CARE NPI 1700582327

NPI Information

  • NPI: 1700582327
  • Provider Name: BLUEGRASS DIRECT PRIMARY CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: BLUEGRASS DIRECT PRIMARY CARE
  • CLIA Number: 18D2283564
  • Address: 227 E MAIN ST
    GEORGETOWN, KY
    ZIP 40324
  • Phone: (606) 424-3068

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NPI Details

BLUEGRASS DIRECT PRIMARY CARE is a family medicine in Georgetown, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLUEGRASS DIRECT PRIMARY CARE NPI is 1700582327. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bluegrass Direct Primary Care.

The provider's business location address is:

227 E MAIN ST
GEORGETOWN, KY
ZIP 40324-711
Phone: (606) 424-3068

The provider's authorized official is Colton Jayne .
The authorized official title is Physician/ Owner and has the following contact phone number (859) 710-6300.

The CLIA number assigned to this NPI record is 18D2283564 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2023 and was last updated on 9/13/2023.

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
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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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