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

Individual provider Physician Assistant · NPI 1568041382

Courtney Tadic, PA-C is a Physician Assistant in Georgetown, Kentucky. Qualified in 2020, 6 years ago. Practices with Proactive Therapy, Inc, a 122-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1138 Lexington Rd Ste 290
Georgetown, KY 40324-9672
Phone: (502) 863-0721
Fax: (502) 863-6104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Medical Heights Dr Ste D, Frankfort, KY 40601-4137 — (502) 226-7054

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2787 (KY)

Record details

NPI number1568041382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Proactive Therapy, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Georgetown