Individual provider Active NPI

Regina Achamma George, MD

  • Pediatrics Physician
  • Cockeysville, MD
National Provider Identifier
1366477465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0056203 Issued in MD
Practice address
54 Scott Adam Rd
Ste 105
Cockeysville, MD 21030
Phone
(410) 666-2020
Fax
(410) 666-3257
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0056203 MD Primary

Addresses

Primary practice location

54 Scott Adam Rd
Ste 105
Cockeysville, MD 21030

Mailing address

54 Scott Adam Rd
Ste 105
Cockeysville, MD 21030
Phone (410) 666-2020

Other identifiers 1

IdentifierTypeStateIssuer
269CREOtherMDBL SHIELD

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0056203MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regina a George MD Current Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rgeorge122008@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366477465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "STE 105",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-666-2020",
            "fax_number": "410-666-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "STE 105",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-666-2020",
            "fax_number": "410-666-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "REGINA",
        "middle_name": "ACHAMMA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0056203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL SHIELD",
            "identifier": "269CRE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.