Organization Active NPI

George G Feussner MD PA

  • Neurology Physician
  • Gainesville, FL
National Provider Identifier
1346348281
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0019836 Issued in FL
Legal business name
GEORGE G FEUSSNER MD PA
Practice address
7106 NW 11TH Place
Suite a
Gainesville, FL 32605-3157
Phone
(352) 331-6430
Fax
(352) 331-3515
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. George G Feussner, MD
Title
Owner President
Phone
(352) 331-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X ME0019836 FL Primary

Addresses

Primary practice location

7106 NW 11TH Place
Suite a
Gainesville, FL 32605-3157

Mailing address

7106 NW 11TH Place
Suite a
Gainesville, FL 32605-3157
Phone (352) 331-6430

Other identifiers 1

IdentifierTypeStateIssuer
057519400MedicaidFL

National Provider Directory

National Provider Directory

Locations

7106 NW 11th Pl
Ste A
Gainesville, FL 32605
Phone (352) 331-6430

2400 SW State Road 47
Lake City, FL 32025
Phone (352) 331-6430

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1346348281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7106 NW 11TH PLACE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053157",
            "telephone_number": "352-331-6430",
            "fax_number": "352-331-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 NW 11TH PLACE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053157",
            "telephone_number": "352-331-6430",
            "fax_number": "352-331-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE G FEUSSNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "FEUSSNER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "352-331-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0019836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057519400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.