Bluegrass Direct Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUEGRASS DIRECT PRIMARY CARE

Doing business as

Bluegrass Direct Primary Care

Practice address

227 E Main St
Georgetown, KY 40324-1711

Phone

(606) 424-3068

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Colton Jayne, MDNPI 1689108821

Title

Physician/ Owner

Phone

(859) 710-6300

Specialties & licenses 2

Addresses

Other names 1

• Bluegrass Direct Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colton Jayne, M.D.

  • Family Medicine Physician
  • Georgetown, KY
  • NPI 1689108821
  Medicare reassignment NPD Authorized official
• Channa Brooke Arnett, APRN

  • Nurse Practitioner
  • Georgetown, KY
  • NPI 1457006066
  NPD
• Kristina Joy Jayne, M.D.

  • Pediatrics Physician
  • Georgetown, KY
  • NPI 1417304981
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1700582327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241711",
            "telephone_number": "606-424-3068",
            "fax_number": "843-288-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241711",
            "telephone_number": "606-424-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS DIRECT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "JAYNE",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "859-710-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Cypress IV and Wellness
• Bluegrass Behavioral School for Children
• Bluegrass Business Health
• Bluegrass Community Care, Inc.
• Bluegrass Community Living, Inc.
• Bluegrass Obstetrics & Gynecology
• Bluegrass Orthopaedics PSC
• Bluegrass Pediatrics and Internal Medicine, PLLC
• Taylor Boggs, BSN, RN
• Gilbert A Boissonneault, PA-C

• Family Medicine Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.