Individual provider Active NPI

George Tettegah, MD

  • Emergency Medicine Physician
  • Sylvania, GA
National Provider Identifier
1164460911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
052644 Issued in GA
Practice address
338 Rocky Ford Rd
Sylvania, GA 30467-6402
Phone
(912) 604-4975
NPI assigned
Jun 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 052644 GA Primary

Addresses

Primary practice location

338 Rocky Ford Rd
Sylvania, GA 30467-6402

Mailing address

338 Rocky Ford Rd
Sylvania, GA 30467-6402
Phone (912) 604-4975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Emergency Group LLC Emergency Medicine Past Accepting new patients
McRae Emergency Services, LLC Emergency Medicine Past Accepting new patients
Burke Emergency Physicians Emergency Medicine Past Accepting new patients
McCabe Medical Group LLC Emergency Medicine PastSince Jul 1, 2012 Accepting new patients
Memorial Health Urgentone, Inc. Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164460911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 ROCKY FORD RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304676402",
            "telephone_number": "912-604-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 ROCKY FORD RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304676402",
            "telephone_number": "912-604-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEGAH",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "052644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.