Active NPI
Georgetown Family Medicine
- Family Medicine Physician
- Georgetown, DE
National Provider Identifier
1225173149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C2-0006045
- Legal business name
- GEORGETOWN FAMILY MEDICINE
- Practice address
- 201 W Market St
Georgetown, DE 19947-1440 - Phone
- (302) 856-3171
- Fax
- (302) 856-2330
- NPI assigned
- Feb 20, 2007
- Last updated
- Sep 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Scot Davis
- Title
- Office Manager
- Phone
- (785) 341-4569
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-00000702 | DE | |
| Family Medicine Physician | 207Q00000X | C2-0006044 | DE | |
| Family Medicine Physician | 207Q00000X | C2-0006045 | DE | Primary |
Addresses
Primary practice location
201 W Market St
Georgetown, DE 19947-1440
Mailing address
201 W Market St
Georgetown, DE 19947-1440
Phone (785) 341-4569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00438 | Other | DE | PETAN |
| 0001044304 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 W Market St
Georgetown, DE 19947
Phone (302) 856-2254
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Georgetown, DE
- NPI 1417044157
-
- Family Medicine Physician
- Georgetown, DE
- NPI 1023105822
-
- Family Medicine Physician
- Georgetown, DE
- NPI 1093158883
-
- Mental Health Counselor
- Georgetown, DE
- NPI 1285941542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1225173149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W MARKET ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199471440",
"telephone_number": "785-341-4569",
"fax_number": "302-856-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MARKET ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199471440",
"telephone_number": "302-856-3171",
"fax_number": "302-856-2330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGETOWN FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "SCOT",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "785-341-4569"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-00000702",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0006044",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0006045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PETAN",
"identifier": "G00438",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001044304",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, DE
- GDG Square, LLC
- Rebecca L Geiger
- Generations Home Care Inc
- Generations Home Care Inc
- Georgetown Dental Associates
- Georgetown Medical Associates, LLC
- Georgetown Medical Elder Care LLC
- Georgetown SNF Operations LLC (Delaware Bay Rehabilitation and Healthcare Center)
- Kimberly E Gerardi
- Katharine Elizabeth Giannaras, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.