George Erving Drake, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301034140 Issued in MI

Practice address

68449 Scott St
Edwardsburg, MI 49112-9504

Phone

(269) 699-5776

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• George E. Drake, M.D., P.C.

  • Primary Care Clinic/Center
  • Niles, MI
  • NPI 1013114552
  NPD (past) Authorized official
• Midtown Family Practice

  • Family Medicine Physician
  • Benton Harbor, MI
  • NPI 1235303181
  NPD (past)
• Midtown Family Practice, PLC

  • Family Medicine Physician
  • Benton Harbor, MI
  • NPI 1922072271
  NPD (past)
• Niles Professional Services, Inc

  • Internal Medicine Physician
  • Niles, MI
  • NPI 1568407930
  NPD (past)
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1073559415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68449 SCOTT ST",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129504",
            "telephone_number": "269-699-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68449 SCOTT ST",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129504",
            "telephone_number": "269-699-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "GEORGE",
        "middle_name": "ERVING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301034140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00218423",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4731175",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0801110581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon Health Ventures Michigan, Inc.
• Beacon Medical Group, Inc.
• Byron Counseling LLC
• Mary Rebecca Casteel
• Clear Choice Chiropractic of Edwardsburg, P.C.
• Luke Eichorn, FNP-BC
• Stacey Marie Gappa, LCSW, LMSW
• Heather Gibson
• Jason Hartman
• Healthy Cocoon Practice PLLC

• Family Medicine Physician in Edwardsburg, MI
• Providers in Edwardsburg, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.