Active NPI
Theodore N Georges, M.D.
- Emergency Medicine Physician
- Christiansburg, VA
National Provider Identifier
1255385134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101025184
- Practice address
- 2900 Lamb Cir
Emergency Dept.
Christiansburg, VA 24073-6344 - Phone
- (540) 731-2000
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101025184 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 0101025184 | VA |
Addresses
Primary practice location
2900 Lamb Cir
Emergency Dept.
Christiansburg, VA 24073-6344
Mailing address
PO Box 2080
Kilmarnock, VA 22482-2080
Phone (804) 435-3508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010115451 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center Inc | Past | Accepting new patients | |
| Healthfront PC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- tgeorges22289@direct.carilionclinic.org
Organizations & group practices 2
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.
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-
- Emergency Medicine Physician
- Santa Fe, NM
- NPI 1417901612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1255385134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2080",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "224822080",
"telephone_number": "804-435-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"address_2": "EMERGENCY DEPT.",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGES",
"first_name": "THEODORE",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101025184",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101025184",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010115451",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.