Individual provider Active NPI

George Fon Tabi Jr., M.D.

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1104180835
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME122965 Issued in FL
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

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150625002670 FL Practitioner - Family PracticePractitioner - Internal Medicine 6800107277 Reassigns benefits to 1 organization
I20230106000034 GA Practitioner - Family Practice 6800107277 Reassigns benefits to 1 organization
I20240122004164 CA Practitioner - PsychiatryPractitioner - General Practice 6800107277 Reassigns benefits to 2 organizations
I20250116000964 TX Practitioner - Family Practice 6800107277 Reassigns benefits to 3 organizations

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
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000

Hospital & facility affiliations

  • Ascension Seton Northwest Hospital, Austin, TX, CCN 450867
  • Ascension Seton Southwest Hospital, Austin, TX, CCN 450865
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122965FLMDFamily Medicine Physician
76689GAMDFamily Medicine Physician

Practice roles (13 of 14)

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jul 1, 2015 Accepting new patients
Lone Star Extensivists PLLC CurrentSince Nov 1, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 1, 2015 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Dec 1, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 15, 2024 Accepting new patients
Rambel Behavioral Health, PC CurrentSince Nov 13, 2024 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 CurrentSince Dec 1, 2022 Accepting new patients
Inpatient Medicine Physicians PA CurrentSince Nov 1, 2025 Accepting new patients
Rambel Medical Group PC CurrentSince Dec 6, 2023 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Wellstreet of Georgia PC PastSince May 7, 2024 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.