Individual provider Active NPI

Agathe Georges, FNP-C

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1093565343
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11031709 Issued in FL
Practice address
4075 S State Road 7 Ste T
Lake Worth, FL 33449-8152
Phone
(561) 446-4312
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 11031709 FL Primary

Addresses

Primary practice location

4075 S State Road 7 Ste T
Lake Worth, FL 33449-8152

Mailing address

1170 Mourning Dove LN
Wellington, FL 33414-7922
Phone (561) 503-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250923002288 FL Practitioner - Nurse Practitioner 8426553348

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

279 S Lake Ave
Suite a and B
Pahokee, FL 33479-1843

PO Box
Suite 297222
Pembroke Pines, FL 33029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11031709FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shekinah Family Medical Centers LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

279 S Lake Ave
Pahokee, FL 33476
Phone (561) 285-9494

Interoperability endpoints

  • Direct secure messaging: agathe.georges@316.emedpractice.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1093565343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MOURNING DOVE LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147922",
            "telephone_number": "561-503-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 S STATE ROAD 7 STE T",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498152",
            "telephone_number": "561-446-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGES",
        "first_name": "AGATHE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11031709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.