Georgetown College, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GEORGETOWN COLLEGE, INC

Doing business as

Georgetown Sports Medicine

Practice address

400 E College St
Georgetown, KY 40324-1628

Phone

(972) 367-4845

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacee GibsonNPI 1699203901

Title

Assistant Athletic Trainer

Phone

(859) 274-2128

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Sports Medicine Doing business as

Locations

Practitioners 1

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.

• Stacee Marie Gibson, ATC

  • Athletic Trainer
  • Georgetown, KY
  • NPI 1699203901
  NPD (past) Authorized official

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1285109744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "972-367-4845",
            "fax_number": "972-367-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241628",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN COLLEGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "STACEE",
        "authorized_official_title_or_position": "ASSISTANT ATHLETIC TRAINER",
        "authorized_official_telephone_number": "859-274-2128"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Gentry
• Melody May George, LPCC
• Georgetown Apothecary PLLC (Georgetown Pharmacy)
• Georgetown Birth Center, LLC
• Georgetown Chiropractic Center
• Georgetown Community Hospital LLC (Georgetown Community Hospital)
• Georgetown Community Hospital LLC (Gerogetown Community Hospital)
• Georgetown Community Hospital LLC (Georgetown Community Hospital - skilled nursing facility)
• Georgetown Community Hospital LLC
• Georgetown Counseling Services

• General Practice Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.