Individual provider Active NPI

George Matthew Dow, NP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1245666320
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
55571 Issued in NM
Practice address
201 Cedar St SE Ste 5660
Albuquerque, NM 87106-4920
Phone
(505) 563-6565
Fax
(505) 563-6564
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 55571 NM Primary
Family Nurse Practitioner 363LF0000X 18491 SC

Addresses

Primary practice location

201 Cedar St SE Ste 5660
Albuquerque, NM 87106-4920

Mailing address

237 Rock Rd
Greer, SC 29651-6833
Phone (864) 349-1220

Other practice location 1

11 Park Creek Dr
Greenville, SC 29605-4270
Phone (864) 797-7450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210621002084 NC Practitioner - Nurse Practitioner 5698904894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians East PAGroup PAC ID 1850284571, 104 clinicians

Practice addresses (Care Compare)

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6641

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
55571NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians East, PA CurrentSince Aug 1, 2021 Accepting new patients
Physicians East, P.a. CurrentSince Aug 1, 2021 Accepting new patients
Physicians East PA Past Accepting new patients

Locations

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

Interoperability endpoints

  • Direct secure messaging: georgedow@pepa.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1245666320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ROCK RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516833",
            "telephone_number": "864-349-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE STE 5660",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064920",
            "telephone_number": "505-563-6565",
            "fax_number": "505-563-6564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Park Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054270",
            "country_code": "US",
            "telephone_number": "864-797-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOW",
        "first_name": "GEORGE",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "55571",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.