Individual provider Active NPI

Jeannette George

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1043987753
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1043673 Issued in TX
Practice address
1212 N Josey LN Ste 110
Carrollton, TX 75006-6103
Phone
(469) 294-1402
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1043673 TX Primary

Addresses

Primary practice location

1212 N Josey LN Ste 110
Carrollton, TX 75006-6103

Mailing address

PO Box 631066
Irving, TX 75063-0010

Other practice location 1

209 N Bonnie Brae St Ste 203
Denton, TX 76201-3748
Phone (940) 383-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908002721 TX Practitioner - Nurse Practitioner 2668878125 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1043673TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Express Clinics Network PLLC CurrentSince Aug 30, 2021 Accepting new patients
Circle Medical Care Group PA CurrentSince Apr 5, 2025 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1212 N Josey Ln
Ste 110
Carrollton, TX 75006
Phone (469) 294-1402

209 N Bonnie Brae St
Ste 203
Denton, TX 76201
Phone (940) 383-8300

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1043987753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631066",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N JOSEY LN STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066103",
            "telephone_number": "469-294-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N Bonnie Brae St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762013748",
            "country_code": "US",
            "telephone_number": "940-383-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JEANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1043673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.