Gary D Givens, MD

Individual provider Active NPI General Practice Physician · Powderly, KY

NPI 1841291390 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1841291390
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
14968 (KY)
Practice address
1010 Medical Center Drive
Powderly, KY 42367
Phone
(270) 377-1609
Fax
(270) 377-1682
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14968KYMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14968 KY Yes

Addresses

Primary practice location

1010 Medical Center Drive
Powderly, KY 42367

Mailing address

1010 Medical Center Drive
Powderly, KY 42367
Phone (270) 377-1609

Other identifiers

IdentifierTypeStateIssuer
64149685MedicaidKY

Other providers in Powderly, KY

All providers in Powderly, KY · General Practice Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.