NPIMap

Organization Active NPI

Georgetown Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Georgetown, KY
National Provider Identifier
1780838847
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GEORGETOWN URGENT CARE PLLC
Practice address
111 Osbourne Way
Suite 101
Georgetown, KY 40324-8004
Phone
(859) 466-8956
NPI assigned
Nov 15, 2008
Last updated
May 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Nawar Soda, MDNPI 1083812598
Title
Owner
Phone
(859) 466-8956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

111 Osbourne Way
Suite 101
Georgetown, KY 40324-8004

Mailing address

111 Osbourne Way
Suite 101
Georgetown, KY 40324-8004
Phone (502) 570-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081216000010 KY Part B Supplier - Clinic/Group Practice 6608938287 Receives reassigned benefits from 75 practitioners
Practice locations: Georgetown, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1091975Georgetown Urgent Care111 Osbourne Way, Suite 101, Georgetown, KY 40324Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

111 Osborne Way
Ste 101
Georgetown, KY 40324
Phone (859) 466-8956

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1780838847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSBOURNE WAY",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248004",
            "telephone_number": "502-570-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OSBOURNE WAY",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248004",
            "telephone_number": "859-466-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SODA",
        "authorized_official_first_name": "NAWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-466-8956",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.