Individual provider Active NPI

George Lacrusie Saunders III, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Calabash, NC
National Provider Identifier
1063547255
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35741 Issued in NC
Practice address
602 Thomasboro Road
Calabash, NC 28467-9820
Phone
(910) 499-0181
Fax
(910) 888-3168
NPI assigned
Feb 21, 2007
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35741 NC Primary

Addresses

Primary practice location

602 Thomasboro Road
Calabash, NC 28467-9820

Mailing address

PO Box 29
Supply, NC 28462-0029
Phone (910) 499-0181

Other identifiers 3

IdentifierTypeStateIssuer
080047334OtherNCMEDICARE RAILROAD
76588OtherNCINDIVIDUAL BCBS
8974601MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35741NCMDGeriatric Medicine (Family Medicine) Physician
6089NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health-Pro Mental Health Services PLLC Past Accepting new patients
Brunswick Gericare Past Accepting new patients
P & S Med Past Accepting new patients
George L. Saunders, MD, PA Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1063547255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284620029",
            "telephone_number": "910-499-0181",
            "fax_number": "888-316-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 THOMASBORO ROAD",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284679820",
            "telephone_number": "910-499-0181",
            "fax_number": "910-888-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "GEORGE",
        "middle_name": "LACRUSIE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "35741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080047334",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS",
            "identifier": "76588",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974601",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabash, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.