Oglethorpe of Georgetown LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

OGLETHORPE OF GEORGETOWN LLC

Practice address

425 Home St
Georgetown, OH 45121-1407

Phone

(937) 483-4933

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Tracy Roberts

Title

Corporate Director Revenue

Phone

(423) 895-0084

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Behavioral Hospital Doing business as

Locations

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1093379992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 GROVE RD STE 129",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098658",
            "telephone_number": "352-597-5075",
            "fax_number": "855-803-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-483-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLETHORPE OF GEORGETOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR REVENUE",
        "authorized_official_telephone_number": "423-895-0084"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Georgetown Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Hospital in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Psychiatric Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.