NPIMap

Individual provider Active NPI

Deon Edgerson-George

  • Internal Medicine Physician
  • Chester, MD
National Provider Identifier
1508033929
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D74685 Issued in MD
Practice address
1630 Main St
Suite 209
Chester, MD 21619-2791
Phone
(410) 643-4524
Fax
(410) 643-4523
NPI assigned
May 14, 2008
Last updated
Nov 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D74685 MD Primary

Addresses

Primary practice location

1630 Main St
Suite 209
Chester, MD 21619-2791

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120823000502 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5294981288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

1630 Main St
Chester, MD 21619-2791
Phone (410) 643-4524

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Parish Hospital Service District for the Parish of Orleans Dist a Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1630 Main St
Ste 204
Chester, MD 21619
Phone (410) 224-4887

1630 Main St
Ste 209
Chester, MD 21619
Phone (410) 643-4524

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Interoperability endpoints

  • Direct secure messaging: dedgersongeorge25084@direct.aahs.org

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 9

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1508033929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6576",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST",
            "address_2": "SUITE 209",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192791",
            "telephone_number": "410-643-4524",
            "fax_number": "410-643-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERSON-GEORGE",
        "first_name": "DEON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D74685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

Verify at the official NPI Registry.