GEORGETOWN INTEGRATED MEDICINE PSC
NPI 1346640208
Family Medicine - Adult Medicine in Georgetown, KY

NPI Status: Active since August 28, 2014

Contact Information

108 OSBOURNE WAY
SUITE 6
GEORGETOWN, KY
ZIP 40324
Phone: (502) 316-6533

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  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 18D0322357
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About GEORGETOWN INTEGRATED MEDICINE PSC

This page provides the complete NPI Profile along with additional information for Georgetown Integrated Medicine Psc, a primary care provider established in Georgetown, Kentucky operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1346640208 assigned on August 2014. The practitioner's primary taxonomy code is 207QA0505X with license number 36483 (KY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Becky Sizemore (Administrator)

NPI
1346640208
Provider Name
GEORGETOWN INTEGRATED MEDICINE PSC
Entity Type
Organization
Location Address
108 OSBOURNE WAY SUITE 6 GEORGETOWN, KY 40324
Location Phone
(502) 316-6533
Mailing Address
7975 SOLUTION CTR CHICAGO, IL 60677
Mailing Phone
(859) 559-0804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2014
Last Update Date
09-16-2015
Code Navigator

A primary care provider (PCP) like Georgetown Integrated Medicine Psc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
36483
License State
KY
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BECKY SIZEMORE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(859) 559-0804

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0322357
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
JASON MULL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Georgetown Integrated Medicine Psc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346640208, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 2 + 4 + 0 + 2 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1346640208.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
108 OSBOURNE WAY, SUITE 6
GEORGETOWN, KY 40324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346640208, enumerated as an "organization" on August 28, 2014.

The provider is located at 108 OSBOURNE WAY SUITE 6 GEORGETOWN, KY 40324 and the phone number is (502) 316-6533.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.