Todd Georges

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-007562 Issued in IL

Practice address

100 N. State Street
Ridge Farm, IL 61870

Phone

(217) 247-2473

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Dr. Todd J, Georges, P.C.

  • Family Nurse Practitioner
  • Ridge Farm, IL
  • NPI 1740515626

  IL

  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2018.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1104922574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. STATE STREET",
            "city": "RIDGE FARM",
            "state": "IL",
            "postal_code": "61870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. STATE STREET",
            "city": "RIDGE FARM",
            "state": "IL",
            "postal_code": "61870",
            "telephone_number": "217-247-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGES",
        "first_name": "TODD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE",
            "identifier": "0009232002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Daily
• Dr. Todd J, Georges, P.C.
• Victoria Johnson

• All providers in Ridge Farm, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.