Individual provider Active NPI

George J Smith, MD

  • Cardiovascular Disease Physician
  • Madisonville, LA
National Provider Identifier
1104829837
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.201339 Issued in LA
Practice address
428 Claymont CT
Madisonville, LA 70447-3432
Phone
(504) 441-8732
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD018929 TN
Cardiovascular Disease Physician 207RC0000X MD.201339 LA Primary

Addresses

Primary practice location

428 Claymont CT
Madisonville, LA 70447-3432

Mailing address

428 Claymont CT
Madisonville, LA 70447-3432
Phone (504) 441-8732

Other identifiers 3

IdentifierTypeStateIssuer
3882708MedicaidTN
1001465MedicaidLA
01526061MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070523000646 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 0345266771 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD018929TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Education Fund CurrentSince Feb 7, 2023 Accepting new patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Aug 20, 2011 Accepting new patients
Louisiana Cardiovascular and Limb Salvage Center, Apmc CurrentSince Dec 2, 2019 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 7, 2023 Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Specialty Physician Group LLC Cardiovascular Disease Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
HVC, LLC Cardiovascular Disease Past Accepting new patients
Physicians Unity PastSince Dec 15, 2019 Accepting new patients
Cardiovascular Specialist , P.C. Past Accepting new patients
Acadian Physician Practices LLC Past Accepting new patients
Lakeview Regional Physician Group LLC Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Cardiovascular Disease Past Accepting new patients

Locations

433 Plaza St
Fl 2
Bogalusa, LA 70427
Phone (985) 732-3896

151 Hill St
Ste 1
Eunice, LA 70535
Phone (337) 457-8061

901 Wilson St
Lafayette, LA 70503
Phone (337) 237-8119

901 Wilson St
Ste B
Lafayette, LA 70503
Phone (337) 274-6549

1430 Tulane Ave
#8648
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
Fl 4
New Orleans, LA 70112
Phone (504) 988-5263

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

Interoperability endpoints

  • Direct secure messaging: george.smith@hca7.eclinicaldirectplus.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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1104829837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CLAYMONT CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473432",
            "telephone_number": "504-441-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CLAYMONT CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473432",
            "telephone_number": "504-441-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD018929",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.201339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3882708",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001465",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01526061",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.