Personal Geri-Care, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PERSONAL GERI-CARE, LLC

Practice address

150 W Bear Track Rd
Campbellsville, KY 42718-8709

Phone

(270) 465-8133

Fax

(270) 789-1543

NPI assigned

Jul 13, 2021

Last updated

Jan 15, 2026By 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

Nissan Friedman

Title

Chief Executive Officer

Phone

(845) 521-9991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 3

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.

• Jerome Anthony Dixon, D.O.

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1215919451

  Geriatric Medicine

  Medicare reassignment NPD
• Kevin Andrew Graves, DO

  • Family Medicine Physician
  • Barlow, KY
  • NPI 1164765582
  Medicare reassignment NPD
• William Patrick Reed

  • Medical Physician Assistant
  • Campbellsville, KY
  • NPI 1023704483
  NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1710559463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL GERI-CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NISSAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-521-9991"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Pearish
• Sarah Rae Pelczynski-Kunda, MS, BCBA, LBA
• Brittany Pelly, PHARMD
• Kayla Perdue
• Bethany Perkins
• Amy Renee Peterson
• Hannah Nicole Peterson
• Pharmacy Services of Campbellsville (The Medicine Centre Pharmacy)
• Allison Gayle Phillips, APRN
• Phoenix Way, LLC

• Geriatric Medicine (Family Medicine) Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Geriatric Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.