Active NPI
George Nicholas Demellis, FNP
- Family Nurse Practitioner
- Holiday, FL
National Provider Identifier
1497260947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9394641
- Practice address
- 3020 Evensong CT
Holiday, FL 34690-2517 - Phone
- (727) 710-3574
- NPI assigned
- Dec 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9394641 | FL | Primary |
Addresses
Primary practice location
3020 Evensong CT
Holiday, FL 34690-2517
Mailing address
3020 Evensong CT
Holiday, FL 34690-2517
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9394641 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asg Doctors Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Port Richey, FL
- NPI 1255527347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1497260947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 EVENSONG CT",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346902517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 EVENSONG CT",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346902517",
"telephone_number": "727-710-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLIS",
"first_name": "GEORGE",
"middle_name": "NICHOLAS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-06",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9394641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.