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FAMILY PRACTICE MEDICAL CENTER LTD
NPI 1669654224
Clinic/Center - Rural Health in Georgetown, IL

Active since December 05, 2007CLIA 14D0976937 · Waiver
302 N MAIN ST, GEORGETOWN, IL 61846(217) 662-2282(217) 662-6946 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Dec 14, 2021 (2 updates tracked since 2021).

About Family Practice Medical Center Ltd NPPES

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

FAMILY PRACTICE MEDICAL CENTER LTD (NPI 1669654224) is a healthcare organization registered as a rural health in Georgetown, Illinois and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists George R Gindi, Owner, as its authorized official.

NPPES Registry Identity

NPI1669654224
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY PRACTICE MEDICAL CENTER LTD
Location Address302 N MAIN STGeorgetown, IL 61846-1728
Mailing Address511 W Fairchild StDanville, IL 61832-3801 · (217) 431-2025 · Fax (217) 431-0014
Phone(217) 662-2282
Fax(217) 662-6946
Organization SubpartNo
Authorized OfficialGeorge R GindiOwner · (217) 516-0715
Enumeration DateDecember 5, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1669654224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in IL · 001
302 N MAIN ST, Georgetown, IL 61846
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Medical Center Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Practice Medical Center Ltd, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

George Gindi, M.D.
Family Practice
NPI 1477503472
511 W FAIRCHILD ST
Danville, IL 61832
(217) 431-2025
✔ PECOS✔ Accepts Medicare11 mi
Mary Gindi, M.D.
Family Practice
NPI 1417907031
511 W FAIRCHILD ST
Danville, IL 61832
(217) 431-2025
✔ PECOS✔ Accepts Medicare11 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 14D0976937

Family Practice Medical Center · Georgetown, IL
Active · expires Nov 12, 2026
CLIA Number14D0976937
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorMary Y. Gindi
Laboratory Phone(217) 662-2282
Laboratory LocationFamily Practice Medical Center302 N Main Street, Georgetown, IL 61846
CLIA data matches this NPI record on: Address Name Phone
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 Family Practice Medical Center Ltd's NPI number?

The NPI number for Family Practice Medical Center Ltd is 1669654224. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Family Practice Medical Center Ltd located?

Family Practice Medical Center Ltd is located at 302 N Main St, Georgetown, IL 61846. The listed phone number is (217) 662-2282.

What is Family Practice Medical Center Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Family Practice Medical Center Ltd enrolled in Medicare?

Yes. Family Practice Medical Center Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Practice Medical Center Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Family Practice Medical Center Ltd. 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 Family Practice Medical Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0976937) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Practice Medical Center Ltd was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.