Georgetown DME LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GEORGETOWN DME LLC

Practice address

110 Nighthawk Way
Georgetown, TX 78633-4554

Phone

(800) 854-0335

Fax

(800) 854-4155

NPI assigned

Dec 26, 2023

Last updated

Apr 5, 2024By 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

John McKeown

Title

Owner

Phone

(475) 422-2207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1417726944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NIGHTHAWK WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334554",
            "telephone_number": "800-854-0335",
            "fax_number": "800-854-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NIGHTHAWK WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334554",
            "telephone_number": "800-854-0335",
            "fax_number": "800-854-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-422-2207"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetown Behavioral Health Institute, LLC
• Georgetown Caregiving Company LLC
• Georgetown Counseling Services
• Georgetown Dental Group PLLC
• Georgetown Diagnostic Imaging
• Georgetown Durable Medical Equipment, L.P.
• Georgetown Ear, Nose and Throat Center, PA
• Georgetown Elite Dental
• Georgetown Emergency Physicians PLLC
• Georgetown Family & Geriatric Medicine PLLC

• Customized Equipment (DME) in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.

Verify at the official NPI Registry.