NPIMap

Individual provider Active NPI

Ladonna Dichelle George, M.D.

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1073582748
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1823 Issued in AR
Practice address
302 N Main St
Warren, AR 71671-2719
Phone
(870) 226-2112
Fax
(870) 226-2987
NPI assigned
Mar 15, 2006
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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 E1823 AR Primary

Addresses

Primary practice location

302 N Main St
Warren, AR 71671-2719

Mailing address

302 N Main St
Warren, AR 71671-2719
Phone (870) 226-2112

Other identifiers 1

IdentifierTypeStateIssuer
134937001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100305000209 AR Practitioner - Family Practice 8022153790 Reassigns benefits to 3 organizations
Practice locations: Warren, AR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 N Main St
Warren, AR 71671-2719
Phone (870) 226-2112

404 S Bradley St
Warren, AR 71671-3459

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1823ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital Past Accepting new patients
Marsh-George Clinic Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHJCBD/Endpoint/AHJCBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chapel Woods Health and RehabilitationWarren, AR, CCN 045201 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 25, 2025
Mar 25, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • WRNC Inc

    dba Chapel Woods Health and Rehabilitation

    • Skilled Nursing Facility
    • Warren, AR
    • NPI 1477897130

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

Hospital & facility affiliations 6

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1073582748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712719",
            "telephone_number": "870-226-2112",
            "fax_number": "870-226-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712719",
            "telephone_number": "870-226-2112",
            "fax_number": "870-226-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LADONNA",
        "middle_name": "DICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134937001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.