Individual provider Active NPI

Jeffrey R George, MD

  • Hematology & Oncology Physician
  • Mobile, AL
National Provider Identifier
1083667356
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
00023658 Issued in AL
Practice address
6701 Airport Blvd
BLDG B T-Level
Mobile, AL 36608
Phone
(251) 625-6896
Fax
(251) 625-6897
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 00023658 AL Primary
Hematology & Oncology Physician 207RH0003X 23656 AL
Hematology & Oncology Physician 207RH0003X ME95921 FL

Addresses

Primary practice location

6701 Airport Blvd
BLDG B T-Level
Mobile, AL 36608

Mailing address

29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896

Other identifiers 2

IdentifierTypeStateIssuer
009941791MedicaidAL
009981455MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001358 AL Practitioner - Hematology/Oncology 6103804422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Cancer Center PCGroup PAC ID 5597860403, 25 clinicians

Practice addresses (Care Compare)

6701 Airport Blvd
Mobile, AL 36608-6705
Phone (251) 625-6896

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as subgroup
Quality
91.87
Promoting interoperability
100
Improvement activities
40
Cost
71.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23656ALMDHematology & Oncology Physician
ME95921FLMDHematology & Oncology Physician
00023658ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Hematology & Oncology Current Accepting new patients
Monroe County Health Care Authority Current Accepting new patients
Southern Cancer Center, PC CurrentSince Mar 1, 2007 Accepting new patients
Southern Cancer Center, PC Hematology & Oncology CurrentSince Mar 1, 2007 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients

Locations

29653 Anchor Cross Blvd
Daphne, AL 36526
Phone (251) 626-1755

669 S McKenzie St
Ste 103
Foley, AL 36535
Phone (850) 934-2180

6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890

6701 Airport Blvd
Mobile, AL 36608
Phone (251) 545-4776

3719 Dauphin St
Fl 5
Mobile, AL 36608
Phone (251) 607-5061

6701 Airport Blvd
Ste B
Mobile, AL 36608
Phone (251) 633-1890

6701 Airport Blvd
Bldg T
Mobile, AL 36608

3719 Dauphin St
Ste 102
Mobile, AL 36608
Phone (251) 344-1502

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

5153 N 9th Ave
Ste 202
Pensacola, FL 32504
Phone (850) 416-6933

Interoperability endpoints

  • Direct secure messaging: jeffery.george@southerncancercenter.ikm.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1083667356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "BLDG B T-LEVEL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "00023658",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "23656",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME95921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941791",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009981455",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.