Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgetown Medical, LLC

Organization Methadone Clinic · NPI 1063824381

Georgetown Medical, LLC is a Methadone Clinic in Georgetown, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

105 Eastside Dr
Georgetown, KY 40324-9797
Phone: (502) 868-0664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 Eastside Dr, Georgetown, KY 40324-9797 — (502) 868-0664

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 810355 (KY)

Record details

NPI number1063824381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robyn Tanis — Executive Director Of Contract Mgmt · (856) 533-8762
NPI enumeratedMay 21, 2014
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address1317 Route 73 Ste 200, Mount Laurel, NJ 08054-2202