NPIMap

Individual provider Active NPI

Mini George, PA-C

  • Medical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1447217583
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1334 Issued in OK
Practice address
10501 E 91St St
Suite Ed
Tulsa, OK 74133-5790
Phone
(918) 307-6920
Fax
(918) 307-6951
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1334 OK Primary

Addresses

Primary practice location

10501 E 91St St
Suite Ed
Tulsa, OK 74133-5790

Mailing address

PO Box 25277
Overland Park, KS 66225-5277
Phone (918) 307-6920

Other identifiers 2

IdentifierTypeStateIssuer
200039230AMedicaidOK
P00878497OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040621001463 OK Practitioner - Physician Assistant 3173508439 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians

Practice addresses (Care Compare)

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300

1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000

Hospital & facility affiliations

  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital Cushing Hospital, Cushing, OK, CCN 370099
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Mar 3, 2015 Accepting new patients
Oklahoma Infectious Disease Specialists, LLC CurrentSince Jan 13, 2026 Accepting new patients
St. John Physicians, Inc CurrentSince Mar 3, 2015 Accepting new patients
Cardiology of Tulsa Inc. Dba Cardiology Diagnostics of Tulsa Past Accepting new patients
Okmulgee Emergency PLLC Past Accepting new patients
Emergency Management Associates PC Past Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • Direct secure messaging: mgeorge557100@ahs.direct-ci.com

Organizations & group practices 10

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.

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1447217583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25277",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255277",
            "telephone_number": "918-307-6920",
            "fax_number": "918-307-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E 91ST ST",
            "address_2": "SUITE ED",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335790",
            "telephone_number": "918-307-6920",
            "fax_number": "918-307-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MINI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039230A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00878497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.