George James Azar III, M. D.
Individual provider Active NPI Surgery Physician · Hattiesburg, MS
NPI 1376632307 · NPPES record last updated Nov 16, 2010
Key facts
- NPI
- 1376632307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 15260 (MS)
- Practice address
- 139 Fairfield Dr
Hattiesburg, MS 39402-1303 - Phone
- (601) 450-2401
- Fax
- (601) 450-2410
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Surgical Associates, P. a.
Wesley Physician Services LLC
Practice addresses (Care Compare)
139 Fairfield Dr
Hattiesburg, MS 39402-1303
Phone (601) 450-2401
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155
Hospital & facility affiliations
- Merit Health Wesley
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000553 | MS | Practitioner - General Surgery | 0840254819 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Physician Services LLC | Current |
Accepting new patients | |
| Southern Surgical Associates, P. a. | Current | Accepting new patients | |
| Southern Surgical Associates, P. a. | Current |
Accepting new patients | |
| Wesley Health System LLC | Past | Accepting new patients |
Locations
139 Fairfield Dr
Hattiesburg, MS 39402
Phone (601) 450-2401
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
Interoperability endpoints
- southernsurgicalassociatespa.georgeazar@150945.advancedmd-direct.com
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 15260 | MS | Yes |
Addresses
Primary practice location
139 Fairfield Dr
Hattiesburg, MS 39402-1303
Mailing address
139 Fairfield Drive
Hattiesburg, MS 39402-1588
Phone (601) 450-2401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118119 | Medicaid | MS |
Other providers in Hattiesburg, MS
- Calvin Authement
- Kasey J. Autman
- Auxilium Specialty Apothecary Pharmacy Inc
- Larry B Aycock
- Deborah Tarpley Azar
- Jaime Danielle Baas
- Latisha Baber
- Kirona Bacot
- Justin Thomas Badon
- Sophia Badon
All providers in Hattiesburg, MS · Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.