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Georgetown Medical, LLC

Methadone Clinic in Georgetown, KY · enumerated 2014 · authorized official Robyn Tanis, Executive Director of Contract Mgmt.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063824381

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Registry record

Entity type Organization (Type 2)
Legal business name Georgetown Medical, LLC
Practice address 105 Eastside Dr, Georgetown, KY, 40324
Phone (502) 868-0664
Enumeration date May 21, 2014
Last updated in NPPES Sep 9, 2021

Taxonomy & classification

261QM2800X Methadone Clinic Ambulatory Health Care Facilities · License 810355 (KY) Primary

Authorized official

Name Robyn Tanis
Title Executive Director of Contract Mgmt
Phone (856) 533-8762

Other identifiers

Identifier Type State Issuer
810355 Other KY STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Georgetown Medical, LLC?
NPPES lists Robyn Tanis (Executive Director of Contract Mgmt) as the authorized official for this organization.
What is the NPI number for Georgetown Medical, LLC?
The NPI for Georgetown Medical, LLC is 1063824381, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-09.