Individual provider Active NPI

Jinzy Mariam George, MD

  • Student in an Organized Health Care Education/Training Program
  • Derby, CT
National Provider Identifier
1386210847
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
130 Division St ,Griffin Hospital
Derby, CT 06418
Phone
(203) 732-7327
NPI assigned
Jun 3, 2021
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

130 Division St ,Griffin Hospital
Derby, CT 06418

Mailing address

130 Division St ,Griffin Hospital
Derby, CT 06418
Phone (203) 732-7327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20250723002933 ME Practitioner - Internal Medicine 6305352576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Health Center, IncGroup PAC ID 7315840386, 26 clinicians

Practice addresses (Care Compare)

1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Health Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Caring Health Center, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1049 Main St
Springfield, MA 01103
Phone (413) 304-4606

1235 Boston Rd
Springfield, MA 01119
Phone (413) 693-1022

473 Sumner Ave
Springfield, MA 01108
Phone (413) 886-0410

860 Boston Rd
Springfield, MA 01119
Phone (413) 783-9616

Interoperability endpoints

  • Direct secure messaging: jgeorge827604@direct.ochin.org

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

Hospital & facility affiliations 4

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1386210847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST ,GRIFFIN HOSPITAL",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "06418",
            "telephone_number": "203-732-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST ,GRIFFIN HOSPITAL",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "06418",
            "telephone_number": "203-732-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JINZY",
        "middle_name": "MARIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.