Georgetown Chiropractic Center
Organization Active NPI Chiropractor · Georgetown, KY
NPI 1053973644 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1053973644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- GEORGETOWN CHIROPRACTIC CENTER
- Practice address
- 1304 Paris Pike
Georgetown, KY 40324-9704 - Phone
- (859) 242-9469
- NPI assigned
- Jul 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda Howell Winters, DC
- Title
- Member
- Phone
- (502) 735-0707
Practitioners 3
-
Amanda Howell Winters, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190814004160 | KY | Part B Supplier - Clinic/Group Practice | 9436486388 |
Receives reassigned benefits from 3 practitioners Practice locations: Georgetown, KY |
National Provider Directory
Locations
1304 Paris Pike
Georgetown, KY 40324
Phone (502) 735-0707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1304 Paris Pike
Georgetown, KY 40324-9704
Mailing address
1304 Paris Pike
Georgetown, KY 40324-9704
Phone (502) 735-0707
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.