GEORGETOWN FAMILY PRACTICE
NPI 1710252622
Family Medicine in Georgetown, KY

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

The NPI number for Kentucky Mso LLC is 1710252622. It was assigned to this organization in the NPPES registry on March 12, 2012. The provider is doing business as Georgetown Family Practice.

Q: What is Kentucky Mso LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 12, 2012

1138 LEXINGTON RD, SUITE 130, GEORGETOWN, KY 40324(502) 867-0420(502) 867-0222 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Georgetown Family Practice NPPES

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

GEORGETOWN FAMILY PRACTICE (NPI 1710252622) is a healthcare organization registered as a family medicine in Georgetown, Kentucky and active in the NPI registry since March 2012. The organization lists Timothy D Vaughn, Vice President, as its authorized official.

NPPES Registry Identity

NPI1710252622

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKENTUCKY MSO LLC

Location Address1138 LEXINGTON RD, SUITE 130Georgetown, KY 40324-9672

Mailing Address1138 Lexington Rd, Suite 130Georgetown, KY 40324-9672 · (502) 867-0420 · Fax (502) 867-0222

Phone(502) 867-0420

Fax(502) 867-0222

Organization SubpartNo

Authorized OfficialTimothy D VaughnVice President · (615) 372-8500

Enumeration DateMarch 12, 2012

✔ NPI 1710252622 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.

1138 LEXINGTON RD, Georgetown, KY 40324

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Other Names 1

Doing Business AsGeorgetown Family Practice

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 92 clinicians reassign Medicare billing to Georgetown Family Practice, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner38

Family Practice8

General Surgery8

Pediatric Medicine6

Radiation Oncology4

Internal Medicine3

Pulmonary Disease3

Urology3

14 other specialties19

Nearest to this location (20)

See all 92

Danielle Dietz, M.D.

General Surgery

NPI 1558468462

1138 LEXINGTON RD SUITE 230
Georgetown, KY 40324

(502) 570-3778

✔ PECOS✔ Accepts MedicareSame address

Tricia Greer

Nurse Practitioner

NPI 1518336445

1138 LEXINGTON RD SUITE 140
Georgetown, KY 40324

(502) 570-3721

✔ PECOS✔ Accepts MedicareSame address

Raymond Wechman, MD

Family Practice

NPI 1063497113

1138 LEXINGTON RD STE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOSSame address

Marisol Clark, MD

Family Practice

NPI 1578613030

1138 LEXINGTON RD STE 290
Georgetown, KY 40324

(502) 863-0721

✔ PECOS✔ Accepts MedicareSame address

Amanda Estep, MD

Family Practice

NPI 1275978207

1138 LEXINGTON RD SUITE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOS✔ Accepts MedicareSame address

Firas Koura, M.D.

Pulmonary Disease

NPI 1790888683

1138 LEXINGTON RD STE 230
Georgetown, KY 40324

(502) 570-3706

✔ PECOSSame address

Hugh Loeffler, MD

Infectious Disease

NPI 1255584223

1138 LEXINGTON RD STE 290
Georgetown, KY 40324

(502) 863-0721

✔ PECOS✔ Accepts MedicareSame address

Brittany Petty, MSN, APRN, FNP-C

Nurse Practitioner

NPI 1770288169

1138 LEXINGTON RD STE 230A
Georgetown, KY 40324

(502) 570-3721

✔ PECOS✔ Accepts MedicareSame address

Henry Preston, MD

Family Practice

NPI 1154306207

1138 LEXINGTON ROAD SUITE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOS✔ Accepts MedicareSame address

Morgan Riley, APRN

Nurse Practitioner

NPI 1164140695

1138 LEXINGTON RD STE 230A
Georgetown, KY 40324

(502) 570-3721

✔ PECOS✔ Accepts MedicareSame address

Crystal Julian, APRN

Nurse Practitioner

NPI 1790222354

1140 LEXINGTON RD STE 203
Georgetown, KY 40324

(502) 570-3757

✔ PECOS✔ Accepts MedicareSame address

Kent Taylor, M.D.

Medical Oncology

NPI 1013141431

1140 LEXINGTON RD SUITE 202
Georgetown, KY 40324

(502) 868-1100

✔ PECOS✔ Accepts MedicareSame address

Todd Reinhart, MD

Family Practice

NPI 1427098250

1138 LEXINGTON RD STE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOS✔ Accepts MedicareSame address

Sarah Bond, AG-ACNP-BC

Nurse Practitioner

NPI 1871045856

1140 LEXINGTON RD
Georgetown, KY 40324

(502) 868-1100

✔ PECOS✔ Accepts Medicare0.1 mi

Vinod Muniswamy, M.D., M.P.H

Anesthesiology

NPI 1891055877

1140 LEXINGTON RD
Georgetown, KY 40324

(502) 570-3767

✔ PECOS✔ Accepts Medicare0.1 mi

Joseph Thomas, MD

Cardiovascular Disease (Cardiology)

NPI 1144315102

1140 LEXINGTON RD
Georgetown, KY 40324

(502) 863-3303

✔ PECOS✔ Accepts Medicare0.1 mi

Mary Morgan, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1003510132

1002 LEXINGTON RD STE 25B
Georgetown, KY 40324

(502) 735-4577

0.2 mi

Andrew Balbaugh, M.D.

Internal Medicine

NPI 1265640411

196 BEVINS LN SUITE F
Georgetown, KY 40324

(502) 863-2818

✔ PECOS✔ Accepts Medicare0.5 mi

Mobolanle Elder, MD

Pediatric Medicine

NPI 1245896224

196 BEVINS LN STE F
Georgetown, KY 40324

(502) 863-2818

✔ PECOS0.5 mi

Kelly Burgess, M.D.

Family Practice

NPI 1265454409

202 BEVINS LANE
Georgetown, KY 40324

(859) 323-9333

✔ PECOS✔ Accepts Medicare0.6 mi

See all 92 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1710252622. It was assigned to this organization in the NPPES registry on March 12, 2012. The provider is doing business as Georgetown Family Practice.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 1138 Lexington Rd Suite 130, Georgetown, KY 40324. The listed phone number is (502) 867-0420.

What is Kentucky Mso LLC's specialty?

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

Is Kentucky Mso LLC enrolled in Medicare?

Yes. Kentucky Mso LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentucky Mso LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 22 Medicare specialties reassign their Medicare billing to Kentucky Mso 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. The largest specialties are Nurse Practitioner (38), Family Practice (8) and General Surgery (8). Of these, 13 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kentucky Mso LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kentucky Mso 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 Kentucky Mso LLC was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.