Organization Active NPI

George Med - Peds Associates PC

Doing business as Southern Nevada Internal Medicine Pediatrics

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1255452785
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11122 Issued in NV
Legal business name
GEORGE MED - PEDS ASSOCIATES PC
Doing business as
Southern Nevada Internal Medicine Pediatrics
Practice address
8859 W Flamingo Rd
Las Vegas, NV 89147-8723
Phone
(702) 419-3482
Fax
(702) 433-5410
NPI assigned
Apr 3, 2007
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dr. Constantine George, M.D.NPI 1164429858
Title
Owner
Phone
(702) 253-5410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11122 NV Primary
Pediatrics Physician 208000000X 11122 NV

Addresses

Primary practice location

8859 W Flamingo Rd
Las Vegas, NV 89147-8723

Mailing address

2725 S Jones Blvd Ste 100
Las Vegas, NV 89146-5605
Phone (702) 253-5410

Other identifiers 2

IdentifierTypeStateIssuer
100508862MedicaidNV
100506950MedicaidNV

Other names 1

  • SOUTHERN NEVADA INTERNAL MEDICINE PEDIATRICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000527 NV Part B Supplier - Clinic/Group Practice 4789613522 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2128473George Med-Peds Associates PC8859 W Flamingo Rd, Las Vegas, NV 89147Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

2725 S Jones Blvd
Ste 100
Las Vegas, NV 89146

5990 S Rainbow Blvd
Ste B1
Las Vegas, NV 89118
Phone (702) 253-5410

6252 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 253-5410

8859 W Flamingo Rd
Las Vegas, NV 89147
Phone (702) 419-3482

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1255452785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "702-253-5410",
            "fax_number": "702-433-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8859 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478723",
            "telephone_number": "702-419-3482",
            "fax_number": "702-433-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MED - PEDS ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-253-5410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11122",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "11122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508862",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506950",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN NEVADA INTERNAL MEDICINE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.