Individual provider Active NPI

George R Jewell, PHD

  • Clinical Neuropsychologist
  • Dayton, OH
National Provider Identifier
1205027612
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6364 Issued in OH
Practice address
8075 Washington Village Dr Ste 1
Dayton, OH 45458-1847
Phone
(513) 241-2370
Fax
(513) 241-6053
NPI assigned
Aug 9, 2007
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6364 OH Primary

Addresses

Primary practice location

8075 Washington Village Dr Ste 1
Dayton, OH 45458-1847

Mailing address

4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 936-5358

Other identifiers 2

IdentifierTypeStateIssuer
7100527770MedicaidKY
2807654MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000204 OH Practitioner - Clinical Psychologist 5698860484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians

Practice addresses (Care Compare)

4805 Montgomery Rd
Suite 210
Cincinnati, OH 45212-2280
Phone (513) 322-7300

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverhills Healthcare Inc Clinical Neuropsychologist CurrentSince Sep 9, 2024 Accepting new patients
Daniel Drake Center for Post-Acute Care, LLC Past Accepting new patients
Riverhills Healthcare, Inc. Clinical Neuropsychologist PastSince Sep 9, 2024 Accepting new patients

Locations

4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370

4805 Montgomery Rd
Ste 210
Cincinnati, OH 45212
Phone (513) 241-2370

4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212
Phone (513) 241-2370

8075 Washington Village Dr
Dayton, OH 45458
Phone (513) 241-2370

Interoperability endpoints

  • Direct secure messaging: gjewell@rhi.gwaydirect.com
  • Direct secure messaging: gjewell16008@direct.uchealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations & group practices 3

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1205027612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122280",
            "telephone_number": "513-936-5358",
            "fax_number": "513-961-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 WASHINGTON VILLAGE DR STE 1",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "513-241-2370",
            "fax_number": "513-241-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "GEORGE",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100527770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2807654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.