BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE-GEORGETOWN
NPI 1568907798
Pediatrics in Georgetown, KY

Q: What is Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1568907798. It was assigned to this organization in the NPPES registry on December 26, 2016. The provider is doing business as Bluegrass Pediatrics And Internal Medicine-Georgetown.

Q: What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on December 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 26, 2016CLIA 18D1081436 · Microscopy

196 BEVINS LN, SUITE F, GEORGETOWN, KY 40324(502) 863-2818(502) 863-2764 Get Directions Write a Review

NPPES record last updated: December 26, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Bluegrass Pediatrics And Internal Medicine-georgetown NPPES

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

BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE-GEORGETOWN (NPI 1568907798) is a healthcare organization registered as a pediatrics in Georgetown, Kentucky and active in the NPI registry since December 2016. The organization holds a CLIA Microscopy certificate valid through March 17, 2028 and lists Sara Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1568907798

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameKENTUCKY MSO LLC

Location Address196 BEVINS LN, SUITE FGeorgetown, KY 40324-8534

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775

Phone(502) 863-2818

Fax(502) 863-2764

Organization SubpartNo

Authorized OfficialSara MillerDirector · (615) 920-7514

Enumeration DateDecember 26, 2016

✔ NPI 1568907798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X

196 BEVINS LN, Georgetown, KY 40324

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Other Names 1

Doing Business AsBluegrass Pediatrics And Internal Medicine-georgetown

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

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 for Provider-Performed Microscopy Procedures (PPMP) 18D1081436

Bluegrass Pediatrics And Internal Medicine · Georgetown, KY

Active · expires Mar 17, 2028

CLIA Number18D1081436

Laboratory TypePhysician Office

Certificate Effective DateMarch 18, 2026

Certificate Expiration DateMarch 17, 2028

Laboratory DirectorMr. Andrew P. Balbaugh

Laboratory Phone(502) 863-2818

Laboratory LocationBluegrass Pediatrics And Internal Medicine196 Bevins Lane, Ste F, Georgetown, KY 40324

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW PETER BALBAUGH M.D.

Internal Medicine

196 BEVINS LN, SUITE F
GEORGETOWN, KY 40324

Scott County (502) 863-2818

BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE, PLLC

Pediatrics

196 BEVINS LN, SUITE F
GEORGETOWN, KY 40324

Scott County (502) 863-2818

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 Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1568907798. It was assigned to this organization in the NPPES registry on December 26, 2016. The provider is doing business as Bluegrass Pediatrics And Internal Medicine-Georgetown.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 196 Bevins Ln Suite F, Georgetown, KY 40324. The listed phone number is (502) 863-2818.

What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kentucky Mso LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D1081436) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on December 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.