Individual provider Active NPI

Preethi George, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1184842270
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04793 Issued in TX
Practice address
5757 Warren Pkwy Ste 204
Frisco, TX 75034-4206
Phone
(972) 232-7171
Fax
(972) 674-8360
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04793 TX Primary

Addresses

Primary practice location

5757 Warren Pkwy Ste 204
Frisco, TX 75034-4206

Mailing address

PO Box 1323
Frisco, TX 75034-0023

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
I20130219000422 TX Practitioner - Physician Assistant 0941455174 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citydoc Urgent Care Center 3 ,PLLC 16 clinicians
City Doc Uptown Urgent Care Center PLLC 15 clinicians
Whitecoat Enterprises LLC 3 clinicians
Citydoc Urgent Care Center 2, PLLC 20 clinicians

Practice addresses (Care Compare)

10759 Preston Rd
Suite 200
Dallas, TX 75230-3806
Phone 21487170007109

2909 McKinney Ave
Suite B
Dallas, TX 75204-7413
Phone 21487170007109

500 W Main St
Lewisville, TX 75057-3629
Phone (214) 227-2457

5301 W Lovers Lane
Suite 109
Dallas, TX 75209-4244
Phone (214) 352-7800

5601 Warren Pkwy
Frisco, TX 75034-4069
Phone (214) 227-2457

Hospital & facility affiliations

  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04793TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Surgical Services CurrentSince Apr 17, 2020 Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Reclaim Physicians Medical Group Inc Past Accepting new patients

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 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1184842270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY STE 204",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344206",
            "telephone_number": "972-232-7171",
            "fax_number": "972-674-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PREETHI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.