Active NPI
Andrew William George, D.C.
- Chiropractor
- Daytona Beach, FL
National Provider Identifier
1477997203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11192
- Practice address
- 337 N Clyde Morris Blvd
Daytona Beach, FL 32114-2732 - Phone
- (386) 265-4908
- Fax
- (386) 265-4908
- NPI assigned
- Apr 23, 2013
- Last updated
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S03744 | MD | |
| Chiropractor | 111N00000X | CH11192 | FL | Primary |
Addresses
Primary practice location
337 N Clyde Morris Blvd
Daytona Beach, FL 32114-2732
Mailing address
337 N Clyde Morris Blvd
Daytona Beach, FL 32114-2732
Phone (386) 265-4908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11192 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Chiropractic & Injury Clinic | Past | Accepting new patients | |
| Hodges Chiropractic PA | Past | Accepting new patients |
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.
-
- Rehabilitation Chiropractor
- Daytona Beach, FL
- NPI 1750701470
-
- Sports Physician Chiropractor
- Arnold, MD
- NPI 1801034079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1477997203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142732",
"telephone_number": "386-265-4908",
"fax_number": "386-265-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142732",
"telephone_number": "386-265-4908",
"fax_number": "386-265-4908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ANDREW",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03744",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.