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: July 19, 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

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
36D2168226
Facility Type
Physician Office
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
JEFFREY S. DONOHOO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Donohoo Primary Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528628773, enumerated as an "organization" on June 19, 2019.

The provider is located at 5160 STATE ROUTE 125 GEORGETOWN, OH 45121 and the phone number is (937) 213-1092.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.