Active NPI
Giovannie Eugenio-Anciro, MD
- Family Medicine Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36635
- Practice address
- 754 S Hwy 27
Somerset, KY 42501 - Phone
- (606) 677-6787
- Fax
- (606) 451-0035
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 36635 | KY | |
| Family Medicine Physician | 207Q00000X | 36635 | KY | Primary |
Addresses
Primary practice location
754 S Hwy 27
Somerset, KY 42501
Mailing address
PO Box 997
Somerset, KY 42502
Phone (606) 677-6787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64036700 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36635 | KY | MD | Addiction (Substance Use Disorder) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Winchester, Patton & Burgess, PSC | Family Medicine | Past | Accepting new patients |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
96 Future Dr
Corbin, KY 40701
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950
754 S Highway 27
Somerset, KY 42501
Phone (606) 305-2516
Interoperability endpoints
- geugenio23092@bhkydirect.com
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Nurse Practitioner
- Nicholasville, KY
- NPI 1255805586
Family Medicine
-
- Family Medicine Physician
- Whitley City, KY
- NPI 1588739486
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1063421030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42502",
"telephone_number": "606-677-6787",
"fax_number": "606-451-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 S HWY 27",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42501",
"telephone_number": "606-677-6787",
"fax_number": "606-451-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENIO-ANCIRO",
"first_name": "GIOVANNIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "36635",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "36635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64036700",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.