Active NPI
George Fon Tabi Jr., M.D.
- Family Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME122965
- Practice address
- 500 Gypsy LN
Youngstown, OH 44504-1315 - Phone
- (404) 849-1774
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.124541 | OH | |
| Family Medicine Physician | 207Q00000X | 76689 | GA | |
| Family Medicine Physician | 207Q00000X | ME122965 | FL | Primary |
Addresses
Primary practice location
500 Gypsy LN
Youngstown, OH 44504-1315
Mailing address
465 Gypsy LN
Youngstown, OH 44504-1361
Phone (404) 849-1774
Other practice location 1
1671 W Main St Ste B
El Centro, CA 92243-5420
Phone (760) 592-7760
Other practice location 2
850 Pavillion Pkwy
Monroe, GA 30656-5012
Phone (678) 395-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000
Hospital & facility affiliations
- Ascension Seton Northwest
- Ascension Seton Southwest
- Ascension Seton Hays
- Dell Seton Med Center at the University of TX
- Round Rock Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME122965 | FL | MD | Family Medicine Physician |
| 76689 | GA | MD | Family Medicine Physician |
Practice roles (13 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Lone Star Extensivists PLLC | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Hospital Authority of Jeff Davis County Georgia | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Rambel Behavioral Health, PC | Current | Accepting new patients | |
| Rambel Medical Group PC | Current | Accepting new patients | |
| Hospital Authority of Jeff Davis County Georgia | Current | Accepting new patients | |
| Hospital Authority of Jeff Davis County Georgia | Current | Accepting new patients | |
| Inpatient Medicine Physicians PA | Current | Accepting new patients | |
| Rambel Medical Group PC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients | |
| Wellstreet of Georgia PC | Past | Accepting new patients |
Locations
1671 W Main St
Ste B
El Centro, CA 92243
Phone (442) 271-4050
1671 W Main St
Unit D
El Centro, CA 92243
Phone (760) 592-7760
1671 W Main St
Ste D
El Centro, CA 92243
Phone (760) 352-3366
12375 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 936-2013
8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020
12555 Biscayne Blvd
North Miami, FL 33181
Phone (305) 379-4442
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Networks
- Freedom Health HMO Network
Interoperability endpoints
- george.tabi.2@27810.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
-
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1568296952
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Behavioral Neurology & Neuropsychiatry Physician
- El Centro, CA
- NPI 1417783606
-
- Internal Medicine Physician
- El Centro, CA
- NPI 1598547770
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bellaire, TX
- NPI 1023439114
-
- Internal Medicine Physician
- Hazlehurst, GA
- NPI 1528874518
-
- Rural Health Clinic/Center
- Hazlehurst, GA
- NPI 1912379082
-
- Hospitalist Physician
- New Braunfels, TX
- NPI 1316973043
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
- Urgent Care Clinic/Center
- El Centro, CA
- NPI 1184509754
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
-
- General Acute Care Hospital
- Austin, TX
- NPI 1124137054
-
- General Acute Care Hospital
- Kyle, TX
- NPI 1619115383
-
- General Acute Care Hospital
- Austin, TX
- NPI 1750499273
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1104180835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041361",
"telephone_number": "404-849-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041315",
"telephone_number": "404-849-1774"
}
],
"practiceLocations": [
{
"address_1": "1671 W Main St Ste B",
"address_purpose": "LOCATION",
"city": "El Centro",
"state": "CA",
"postal_code": "922435420",
"country_code": "US",
"telephone_number": "760-592-7760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Pavillion Pkwy",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306565012",
"country_code": "US",
"telephone_number": "678-395-0010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABI",
"first_name": "GEORGE",
"middle_name": "FON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.124541",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "76689",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME122965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.