Individual provider Active NPI

Susan George, M.D.

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1285822346
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8668 Issued in TX
Practice address
500 Flower Mound Rd
Suite # 102
Flower Mound, TX 75028-3427
Phone
(972) 874-9600
Fax
(214) 513-9899
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2007-0094 NM
Family Medicine Physician 207Q00000X M8668 TX Primary

Addresses

Primary practice location

500 Flower Mound Rd
Suite # 102
Flower Mound, TX 75028-3427

Mailing address

500 Flower Mound Rd
Suite # 102
Flower Mound, TX 75028-3427
Phone (972) 874-9600

Other names 1

  • Susan Mary Cleetus Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000179 TX Practitioner - Family Practice 5092862193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Morriss Rd
Suite 150
Flower Mound, TX 75028-3507
Phone (972) 874-9600

Hospital & facility affiliations

  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2007-0094NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan George, MD PA CurrentSince Feb 2, 2009 Accepting new patients

Locations

2001 Morriss Rd
#150
Flower Mound, TX 75028
Phone (972) 874-9600

500 Flower Mound Rd
Spc 102
Flower Mound, TX 75028
Phone (972) 874-9600

Organizations & group practices 1

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1285822346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FLOWER MOUND RD",
            "address_2": "SUITE # 102",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283427",
            "telephone_number": "972-874-9600",
            "fax_number": "214-513-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FLOWER MOUND RD",
            "address_2": "SUITE # 102",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283427",
            "telephone_number": "972-874-9600",
            "fax_number": "214-513-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0094",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CLEETUS",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.