Individual provider Active NPI

Gail George, BSN, RN

  • Critical Care Medicine Registered Nurse
  • Covington, GA
National Provider Identifier
1174114284
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
202231 Issued in GA
Practice address
290 Spring Lake Terrace
Covington, GA 30016
Phone
(470) 444-1211
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 202231 GA Primary

Addresses

Primary practice location

290 Spring Lake Terrace
Covington, GA 30016

Mailing address

290 Spring Lake Terrace
Covington, GA 30016
Phone (470) 444-1211

Other identifiers 1

IdentifierTypeStateIssuer
202231OtherGALICENSE

Other names 1

  • Gail George Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL COVINGTON Direct
Other URL destinyhealthsolutions.com Direct

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
202231GAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1174114284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SPRING LAKE TERRACE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "470-444-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SPRING LAKE TERRACE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "470-444-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GAIL",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "202231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "202231",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COVINGTON",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "290 SPRING LAKE TERRACE",
            "city": "COVINGTON",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "destinyhealthsolutions.com",
            "affiliation": "N",
            "endpointDescription": "secure url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "290 SPRING LAKE TERRACE",
            "city": "COVINGTON",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "GEORGE",
            "credential": "BSN, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.