Individual provider Active NPI

Cathi Virginia George, NP-C

  • Family Nurse Practitioner
  • Bluemont, VA
National Provider Identifier
1508027707
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R131155 Issued in MD
Practice address
1984 Ebenezer Rd
Bluemont, VA 20135-4942
Phone
(301) 639-7371
NPI assigned
Jun 19, 2008
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R131155 MD Primary

Addresses

Primary practice location

1984 Ebenezer Rd
Bluemont, VA 20135-4942

Mailing address

6 E Main St # 429
Burkittsville, MD 21718-9202
Phone (301) 834-9319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701001897 WV Practitioner - Nurse Practitioner 8022176932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Urgent Care, LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

84 Somerset Blvd
Charles Town, WV 25414
Phone (304) 728-8533

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1508027707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST # 429",
            "city": "BURKITTSVILLE",
            "state": "MD",
            "postal_code": "217189202",
            "telephone_number": "301-834-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 EBENEZER RD",
            "city": "BLUEMONT",
            "state": "VA",
            "postal_code": "201354942",
            "telephone_number": "301-639-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CATHI",
        "middle_name": "VIRGINIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R131155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluemont, VA

Sources for this page

Verify at the official NPI Registry.