1. Home
  2. Directory
  3. Kentucky
  4. Campbellsville
  5. Family Medicine
  6. NPI Profile

PERSONAL GERI-CARE, LLC
NPI 1710559463
Family Medicine - Geriatric Medicine in Campbellsville, KY

Active since July 13, 2021
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718(270) 465-8133(270) 789-1543 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Jul 13, 2021 (2 updates tracked since 2021).

About Personal Geri-care, Llc NPPES

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

PERSONAL GERI-CARE, LLC (NPI 1710559463) is a healthcare organization registered as a geriatric medicine in Campbellsville, Kentucky and active in the NPI registry since July 2021. The organization lists Nissan Friedman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1710559463
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NamePERSONAL GERI-CARE, LLC
Location Address150 W BEAR TRACK RDCampbellsville, KY 42718-8709
Mailing Address150 W Bear Track RdCampbellsville, KY 42718-8709 · (270) 465-8133 · Fax (270) 789-1543
Phone(270) 465-8133
Fax(270) 789-1543
Organization SubpartNo
Authorized OfficialNissan FriedmanChief Executive Officer · (845) 521-9991
Enumeration DateJuly 13, 2021
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1710559463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
150 W BEAR TRACK RD, Campbellsville, KY 42718
Open in Google Maps ↗

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)

Personal Geri-care, Llc 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 Personal Geri-Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jerome Dixon, D.O.
Family Practice
NPI 1215919451
150 W BEAR TRACK RD
Campbellsville, KY 42718
(270) 465-8133
✔ PECOS✔ Accepts MedicareSame address
Kevin Graves, DO
Family Practice
NPI 1164765582
120 N 4TH ST
Barlow, KY 42024
(270) 334-3131
✔ PECOS✔ Accepts Medicare206 mi

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 Personal Geri-Care, LLC's NPI number?

The NPI number for Personal Geri-Care, LLC is 1710559463. It was assigned to this organization in the NPPES registry on July 13, 2021.

Where is Personal Geri-Care, LLC located?

Personal Geri-Care, LLC is located at 150 W Bear Track Rd, Campbellsville, KY 42718. The listed phone number is (270) 465-8133.

What is Personal Geri-Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Personal Geri-Care, LLC enrolled in Medicare?

Yes. Personal Geri-Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Personal Geri-Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Personal Geri-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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Personal Geri-Care, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Personal Geri-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 Personal Geri-Care, LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.