Individual provider Active NPI

George Michael Pittman, MD

  • Family Medicine Physician
  • Richmond, KY
National Provider Identifier
1033118864
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KY32608 Issued in KY
Practice address
3190 Irvine Rd
Richmond, KY 40475-9031
Phone
(859) 369-0070
Fax
(859) 369-0073
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32608 KY
Family Medicine Physician 207Q00000X KY32608 KY Primary

Addresses

Primary practice location

3190 Irvine Rd
Richmond, KY 40475-9031

Mailing address

3190 Irvine Rd
Richmond, KY 40475-9031
Phone (859) 369-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000592 KY Practitioner - Family Practice 1850335209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Care Clinic PLLCGroup PAC ID 4385974518, 3 clinicians

Practice addresses (Care Compare)

3190 Irvine Rd
Richmond, KY 40475-9031
Phone (859) 369-0070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.9 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32608KYMDFamily Medicine Physician
KY32608KYMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: gpittman@familyclinic.azalea.phimailbox.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1033118864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 IRVINE RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759031",
            "telephone_number": "859-369-0070",
            "fax_number": "859-369-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 IRVINE RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759031",
            "telephone_number": "859-369-0070",
            "fax_number": "859-369-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "32608",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY32608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.