GEORGETOWN COLLEGE, INC
NPI 1285109744
General Practice in Georgetown, KY

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since October 10, 2018

400 E COLLEGE ST, GEORGETOWN, KY 40324(972) 367-4845 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Georgetown College, Inc NPPES

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

GEORGETOWN COLLEGE, INC (NPI 1285109744), doing business as Georgetown Sports Medicine, is a healthcare organization registered as a general practice in Georgetown, Kentucky and active in the NPI registry since October 2018. The organization lists Stacee Gibson, Assistant Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1285109744

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameGEORGETOWN COLLEGE, INC

Location Address400 E COLLEGE STGeorgetown, KY 40324-1628

Mailing Address5050 Spring Valley RdDallas, TX 75244-3995 · (972) 367-4845 · Fax (972) 367-3451

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialStacee GibsonAssistant Athletic Trainer · (859) 274-2128

Enumeration DateOctober 10, 2018

✔ NPI 1285109744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

400 E COLLEGE ST, Georgetown, KY 40324

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Other Names 1

Doing Business AsGeorgetown Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP