NPIMap

Individual provider Active NPI

John Derrick George, D.O.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1164733374
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1408 Issued in SC
Practice address
525 Verdae Blvd Ste 150
Greenville, SC 29607-4021
Phone
(864) 516-1783
NPI assigned
Jun 23, 2010
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1408 SC Primary
Hospitalist Physician 208M00000X 1408 SC

Addresses

Primary practice location

525 Verdae Blvd Ste 150
Greenville, SC 29607-4021

Mailing address

525 Verdae Blvd Ste 150
Greenville, SC 29607-4021
Phone (864) 516-1783

Other identifiers 2

IdentifierTypeStateIssuer
014086MedicaidSC
P01379488OtherSCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130703000380 SC Practitioner - Internal Medicine 1254580509 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Musc Affiliate PhysiciansGroup PAC ID 6305241027, 48 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040

525 Verdae Blvd
Suite 150
Greenville, SC 29607-4021
Phone (864) 720-1900

853 N Church St
Suite 410a
Spartanburg, SC 29303-3098
Phone (864) 560-6928

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1408SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System CurrentSince Jul 5, 2013 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Jun 16, 2014 Accepting new patients
CH Specialty Services SC LLC CurrentSince May 9, 2023 Accepting new patients
Curana Health of South Carolina PC Internal Medicine CurrentSince Dec 13, 2021 Accepting new patients
Musc Affiliate Physicians Internal Medicine CurrentSince Oct 28, 2024 Accepting new patients
Greenville Health System Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Jan 15, 2021 Accepting new patients
Pelham Medical Center Current Accepting new patients
Greenville Health System CurrentSince Jul 5, 2013 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 28, 2024 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Jan 15, 2021 Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Jun 16, 2014 Accepting new patients
Spartanburg Medical Center CurrentSince Jun 16, 2014 Accepting new patients
Pelham Medical Center CurrentSince Jun 16, 2014 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
University Medical Associates Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

525 Verdae Blvd
Ste 150
Greenville, SC 29607
Phone (864) 516-1783

701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 56

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1164733374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 150",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-516-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 150",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-516-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JOHN",
        "middle_name": "DERRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1408",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "1408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014086",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01379488",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.