DONOHOO PRIMARY CARE LLC
NPI 1528628773
Family Medicine in Georgetown, OH

Active since June 19, 2019CLIA 36D2168226 · Waiver
5160 STATE ROUTE 125, GEORGETOWN, OH 45121(937) 213-1092 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donohoo Primary Care Llc NPPES

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

DONOHOO PRIMARY CARE LLC (NPI 1528628773) is a healthcare organization registered as a family medicine in Georgetown, Ohio and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Venita C Milburn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1528628773
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDONOHOO PRIMARY CARE LLC
Location Address5160 STATE ROUTE 125Georgetown, OH 45121-9518
Mailing Address7407 Fox Run RdGeorgetown, OH 45121-8414 · (937) 213-1092
Organization SubpartNo
Authorized OfficialVenita C MilburnPractice Manager · (513) 304-2523
Enumeration DateJune 19, 2019
✔ NPI 1528628773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
5160 STATE ROUTE 125, Georgetown, OH 45121

Other Identifiers 1

Medicaid0555662OH

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donohoo Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Donohoo Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1770671232
415 HOME ST
Georgetown, OH 45121
(937) 378-1008
✔ PECOS✔ Accepts Medicare1.1 mi

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 36D2168226

Donohoo Primary Care LLC · Georgetown, OH
Active · expires Jun 24, 2027
CLIA Number36D2168226
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorJeffrey S. Donohoo
Laboratory Phone(937) 378-1008
Laboratory LocationDonohoo Primary Care LLC415 Home Street, Georgetown, OH 45121
CLIA data matches this NPI record on: 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 Donohoo Primary Care LLC's NPI number?

The NPI number for Donohoo Primary Care LLC is 1528628773. It was assigned to this organization in the NPPES registry on June 19, 2019.

Where is Donohoo Primary Care LLC located?

Donohoo Primary Care LLC is located at 5160 State Route 125, Georgetown, OH 45121. The listed phone number is (937) 213-1092.

What is Donohoo Primary Care LLC's specialty?

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

Is Donohoo Primary Care LLC enrolled in Medicare?

Yes. Donohoo Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Donohoo Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Donohoo Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Donohoo Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2168226) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Donohoo Primary Care LLC accept?

Health plans from Molina Healthcare list Donohoo Primary Care LLC 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 Donohoo Primary Care LLC was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.