NPIMap

Individual provider Active NPI

George Coleman, MD

  • Family Medicine Physician
  • Waverly, VA
National Provider Identifier
1053390906
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101034924 Issued in VA
Practice address
344 W Main St
Waverly, VA 23890-3235
Phone
(804) 834-8871
Fax
(804) 834-8875
NPI assigned
Jan 10, 2006
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101034924 VA Primary

Addresses

Primary practice location

344 W Main St
Waverly, VA 23890-3235

Mailing address

8575 Ivor Rd
Ivor, VA 23866-3108
Phone (757) 859-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000373 VA Practitioner - Family Practice 9931181575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Services IncGroup PAC ID 1153232749, 7 clinicians

Practice addresses (Care Compare)

344 W Main St
Waverly, VA 23890-3235
Phone (804) 834-8871

PO Box
Suite 210
Ivor, VA 23866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101034924VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc CurrentSince Mar 15, 2004 Accepting new patients
Horizon Health Services Inc CurrentSince Mar 15, 2004 Accepting new patients
Horizon Health Services Inc Past Accepting new patients

Locations

440 Colonial Trl W
Dendron, VA 23839
Phone (757) 294-3981

Interoperability endpoints

  • Direct secure messaging: george.coleman@hhsi.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1053390906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 IVOR RD",
            "city": "IVOR",
            "state": "VA",
            "postal_code": "238663108",
            "telephone_number": "757-859-6161",
            "fax_number": "757-859-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 W MAIN ST",
            "city": "WAVERLY",
            "state": "VA",
            "postal_code": "238903235",
            "telephone_number": "804-834-8871",
            "fax_number": "804-834-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101034924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, VA

Sources for this page

Verify at the official NPI Registry.