Individual provider Active NPI

George O'Neal Vinsant, M.D.

  • Surgery Physician
  • La Follette, TN
National Provider Identifier
1336230465
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0000018128 Issued in TN
Practice address
919 E. Central Avenue
Suite 201
Lafollette, TN 37766
Phone
(423) 907-1680
Fax
(423) 907-1684
NPI assigned
Sep 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0000018128 TN Primary
Vascular Surgery Physician 2086S0129X MD18128 TN

Addresses

Primary practice location

919 E. Central Avenue
Suite 201
Lafollette, TN 37766

Mailing address

919 E. Central Avenue
Suite 201
Lafollette, TN 37766
Phone (423) 907-1680

Other identifiers 3

IdentifierTypeStateIssuer
4052243OtherTNBLUE CROSS BLUE SHIELD
0000018128OtherTNMEDICAL LICENSE
320052634OtherTNTAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address george.vinsant.1@4694.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100319000026 TN Practitioner - General Surgery 0042345787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Knoxville, TN 37934-1981

151 Frank L Diggs Dr
Clinton, TN 37716-6953
Phone (865) 647-3490

159 Frank L Diggs Dr
Clinton, TN 37716-6953
Phone (865) 859-7370

905 E Central Ave
La Follette, TN 37766-2768
Phone (423) 907-1672

919 E Central Ave
La Follette, TN 37766-2778

923 E Central Ave
La Follette, TN 37766-2768
Phone (423) 907-1225

923 E Central Ave
Lafollette, TN 37766-2778
Phone (423) 907-1498

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18128TNMDVascular Surgery Physician
18128TNMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC Surgery CurrentSince Sep 19, 2012 Accepting new patients

Locations

101 E Blount Ave
Ste 650
Knoxville, TN 37920
Phone (865) 632-5058

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

919 E Central Ave
Ste 201
La Follette, TN 37766
Phone (423) 563-5499

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336230465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 E. CENTRAL AVENUE",
            "address_2": "SUITE 201",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "37766",
            "telephone_number": "423-907-1680",
            "fax_number": "423-907-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E. CENTRAL AVENUE",
            "address_2": "SUITE 201",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "37766",
            "telephone_number": "423-907-1680",
            "fax_number": "423-907-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSANT",
        "first_name": "GEORGE",
        "middle_name": "O'NEAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "0000018128",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD18128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4052243",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0000018128",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "320052634",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.vinsant.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "919 E. Central Avenue",
            "address_2": "Suite 201",
            "city": "LaFollette",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.