Active NPI
George W. Privett Jr., M.D.
- Diagnostic Neuroimaging (Radiology) Physician
- Lexington, KY
National Provider Identifier
1235190992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- License
- 14905
- Practice address
- 1725 Harrodsburg Rd
Suite 100
Lexington, KY 40504-3601 - Phone
- (859) 278-7226
- Fax
- (859) 276-1540
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 14905 | KY | Primary |
Addresses
Primary practice location
1725 Harrodsburg Rd
Suite 100
Lexington, KY 40504-3601
Mailing address
1725 Harrodsburg Rd
Suite 100
Lexington, KY 40504-3601
Phone (859) 278-7226
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000048243 | Other | KY | ANTHEM BCBS |
| 64149057 | Medicaid | KY | |
| 611033603 | Other | KY | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14905 | KY | MD | Diagnostic Neuroimaging (Radiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Neurology, PSC | Past | Accepting new patients |
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.
-
- Specialist
- Lexington, KY
- NPI 1982651766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1235190992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 HARRODSBURG RD",
"address_2": "SUITE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043601",
"telephone_number": "859-278-7226",
"fax_number": "859-276-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 HARRODSBURG RD",
"address_2": "SUITE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043601",
"telephone_number": "859-278-7226",
"fax_number": "859-276-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVETT",
"first_name": "GEORGE",
"middle_name": "W.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "KY",
"license": "14905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000048243",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64149057",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "611033603",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.