Individual provider Active NPI

Cecil R George, MD

  • Family Medicine Physician
  • Fort Stockton, TX
National Provider Identifier
1467427435
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F6658 Issued in TX
Practice address
387 W Ih 10
Fort Stockton, TX 79735-2700
Phone
(432) 336-2058
Fax
(844) 315-7399
NPI assigned
Feb 22, 2006
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F6658 TX Primary

Addresses

Primary practice location

387 W Ih 10
Fort Stockton, TX 79735-2700

Mailing address

387 W Ih 10
Fort Stockton, TX 79735-2700
Phone (432) 336-2058

Other identifiers 2

IdentifierTypeStateIssuer
126431907MedicaidTX
8CR243OtherTXBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080820000032 TX Practitioner - Family Practice 4082678974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos County Memorial HospitalGroup PAC ID 0446160733, 6 clinicians

Practice addresses (Care Compare)

387 W I H
Fort Stockton, TX 79735-2700

387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058

387 W Ih
Suite 10
Fort Stockton, TX 79735-2700

511 N Main St
Fort Stockton, TX 79735-5623
Phone (432) 336-4544

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos County Memorial Hospital District Family Medicine CurrentSince Feb 4, 2024 Accepting new patients
Pecos County Memorial Hospital Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Pecos County Memorial Hospital CurrentSince Jan 1, 2011 Accepting new patients
George Rural Health Center PA Family Medicine PastSince Nov 19, 2004 Accepting new patients

Locations

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

511 N Main St
Fort Stockton, TX 79735
Phone (432) 336-2291

Organizations & group practices 4

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 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1467427435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 W IH 10",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "432-336-2058",
            "fax_number": "844-315-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W IH 10",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "432-336-2058",
            "fax_number": "844-315-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CECIL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126431907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "8CR243",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

Verify at the official NPI Registry.