GEORGETOWN FAMILY MEDICINE
NPI 1225173149
Family Medicine in Georgetown, DE

Active since February 20, 2007CLIA 08D0908354 · Waiver
201 W MARKET ST, GEORGETOWN, DE 19947(302) 856-3171(302) 856-2330 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Georgetown Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGETOWN FAMILY MEDICINE (NPI 1225173149) is a healthcare organization registered as a family medicine in Georgetown, Delaware and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Ryan Scot Davis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225173149
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGETOWN FAMILY MEDICINE
Location Address201 W MARKET STGeorgetown, DE 19947-1440
Mailing Address201 W Market StGeorgetown, DE 19947-1440 · (785) 341-4569 · Fax (302) 856-2330
Fax(302) 856-2330
Organization SubpartNo
Authorized OfficialRyan Scot DavisOffice Manager · (785) 341-4569
Enumeration DateFebruary 20, 2007
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1225173149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in DE · C2-0006045✔ Licensed in DE · C2-0006044
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X · License C5-00000702 (DE)
201 W MARKET ST, Georgetown, DE 19947

Other Identifiers 2

Medicaid0001044304DE
OtherG00438DE · Petan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgetown Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDelawareEnrollment IDO20040726000726Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Georgetown Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1417044157
201 W MARKET ST
Georgetown, DE 19947
(302) 856-2254
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1023105822
201 W MARKET ST
Georgetown, DE 19947
(302) 856-2254
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D0908354

Georgetown Family Medicine · Georgetown, DE
Active · expires Nov 2, 2027
CLIA Number08D0908354
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorDr. Kieran J. Py
Laboratory Phone(302) 856-2254
Laboratory LocationGeorgetown Family Medicine201 West Market Street, Georgetown, DE 19947
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgetown Family Medicine's NPI number?

The NPI number for Georgetown Family Medicine is 1225173149. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Georgetown Family Medicine located?

Georgetown Family Medicine is located at 201 W Market St, Georgetown, DE 19947. The listed phone number is (302) 856-3171.

What is Georgetown Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Georgetown Family Medicine enrolled in Medicare?

Yes. Georgetown Family Medicine is registered in the Medicare PECOS enrollment system.

When is Georgetown Family Medicine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Delaware, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Georgetown Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Georgetown Family Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgetown Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D0908354) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgetown Family Medicine accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Georgetown Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgetown Family Medicine was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.