NPIMap

Individual provider Active NPI

David Brian George, M.D.

  • Internal Medicine Physician
  • Lebanon, KY
National Provider Identifier
1376525212
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25177 Issued in KY
Practice address
325 W Walnut St
Lebanon, KY 40033-1377
Phone
(270) 699-9500
Fax
(270) 699-9550
NPI assigned
Nov 16, 2005
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25177 KY Primary

Addresses

Primary practice location

325 W Walnut St
Lebanon, KY 40033-1377

Mailing address

325 W Walnut St
Ste 600
Lebanon, KY 40033-1377
Phone (270) 699-9500

Other identifiers 1

IdentifierTypeStateIssuer
64251770MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000015 KY Practitioner - Internal Medicine 9234041906 Reassigns benefits to 3 organizations
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Internal Medicine Associates PLLCGroup PAC ID 9335051002, 12 clinicians

Practice addresses (Care Compare)

1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 854-1444

320 N Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 692-5152

325 W Walnut
Suite 600
Lebanon, KY 40033-1378

325 W Walnut St
Lebanon, KY 40033-1378
Phone (270) 699-9500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky Internal Medicine CurrentSince Jan 9, 2023 Accepting new patients
Spring View Physician Practices, LLC Internal Medicine CurrentSince Jan 9, 2023 Accepting new patients
Primary Care Medical Center Inc Internal Medicine Current Accepting new patients
Spring View Physician Practices LLC CurrentSince Jan 9, 2023 Accepting new patients
Village of Lebanon II, LLC CurrentSince Apr 15, 2004 Accepting new patients
Family & Internal Medicine Associates PLLC Internal Medicine CurrentSince Apr 13, 1999 Accepting new patients
VMD Primary Providers Central Kentucky Internal Medicine CurrentSince Jan 9, 2023 Accepting new patients

Locations

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

325 W Walnut St
Ste 600
Lebanon, KY 40033
Phone (270) 699-9500

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone (270) 321-4480

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

Interoperability endpoints

  • Direct secure messaging: david.george.1@22064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22417/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Village of Lebanon II, LLCLebanon, KY, CCN 185437 Skilled nursing facility 5% Or Greater Direct Ownership Interest (16.67%) Aug 6, 2008
Village MedicalLebanon, KY, CCN 183826 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jan 9, 2023
Jan 9, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1376525212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WALNUT ST",
            "address_2": "STE 600",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331377",
            "telephone_number": "270-699-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W WALNUT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331377",
            "telephone_number": "270-699-9500",
            "fax_number": "270-699-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64251770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.