Individual provider Active NPI

Elizabeth George, FNP-C

  • Nurse Practitioner
  • Palestine, TX
National Provider Identifier
1154986594
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP143306 Issued in TX
Practice address
2900 S Loop 256
Palestine, TX 75801-6958
Phone
(903) 724-9922
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143306 TX
Nurse Practitioner 363L00000X AP143306 TX Primary

Addresses

Primary practice location

2900 S Loop 256
Palestine, TX 75801-6958

Mailing address

2900 S Loop 256
Palestine, TX 75801-6958
Phone (903) 731-2219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191213001782 TX Practitioner - Nurse Practitioner 2769815216 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians

Practice addresses (Care Compare)

2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (903) 731-2219

Hospital & facility affiliations

  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
  • Ut Health East Texas Jacksonville Hospital Hospital, Jacksonville, TX, CCN 450194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143306TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2022 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Nov 1, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2022 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Nov 1, 2022 Accepting new patients
Camino Real Emergency Physicians PLLC Nurse Practitioner Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1154986594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016958",
            "telephone_number": "903-731-2219",
            "fax_number": "903-731-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016958",
            "telephone_number": "903-724-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143306",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.