1. Home
  2. Directory
  3. Wyoming
  4. Kemmerer
  5. Family Medicine
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PG DIRECT CARE LLC
NPI 1972421576
Family Medicine in Kemmerer, WY

Active since July 09, 2026
1100 PINE AVE, STE 3B, KEMMERER, WY 83101(307) 381-8446(307) 209-5774 Get Directions Write a Review

NPPES record added: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pg Direct Care Llc NPPES

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

PG DIRECT CARE LLC (NPI 1972421576) is a healthcare organization registered as a family medicine in Kemmerer, Wyoming and active in the NPI registry since July 2026. The organization lists Nicholas J Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1972421576
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePG DIRECT CARE LLC
Location Address1100 PINE AVE, STE 3BKemmerer, WY 83101
Mailing Address30 N Gould St Ste NSheridan, WY 82801-6317 · (307) 381-8446 · Fax (307) 209-5774
Phone(307) 381-8446
Fax(307) 209-5774
Organization SubpartNo
Authorized OfficialNicholas J GreenOwner · (307) 381-8446
Enumeration DateJuly 9, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1972421576 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.
1100 PINE AVE, Kemmerer, WY 83101
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

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 Pg Direct Care LLC's NPI number?

The NPI number for Pg Direct Care LLC is 1972421576. It was assigned to this organization in the NPPES registry on July 9, 2026.

Where is Pg Direct Care LLC located?

Pg Direct Care LLC is located at 1100 Pine Ave Ste 3B, Kemmerer, WY 83101. The listed phone number is (307) 381-8446.

What is Pg Direct Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pg Direct Care LLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.