Gina Merin George, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15087 Issued in TX

Practice address

601 S Clay St Ste 101
Ennis, TX 75119-5771

Phone

(972) 875-5220

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGJGAA/Endpoint/IGJGAA

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.

• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Surgery Physician
  • Dallas, TX
  • NPI 1578533196
  NPD
• Emmanuel E Sackey MD, PA

  dba dba Ennis Childrens Clinic

  • Pediatrics Physician
  • Ennis, TX
  • NPI 1134304520
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1063163871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GRANTHAM DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824079",
            "telephone_number": "972-900-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CLAY ST STE 101",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195771",
            "telephone_number": "972-875-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GINA",
        "middle_name": "MERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne D Fullerton, MD
• Daniel Frederick Gabriel, D.C.
• Darla D Gardner, MS, CCC-SLP
• General and Vascular Surgery of Ennis PA
• George Kingsley, D.O., Inc.
• Rebecca Jane Gillentine, PTA
• Claire Gonzalez, FNP-C
• Kayla Graff, FNP-C
• Brady Alexander Greenlee, MAT, LAT, ATC
• Grill Repair, PA

• Physician Assistant in Ennis, TX
• Providers in Ennis, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.