Individual provider Active NPI

George Jackson Snipes Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1508861527
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
L5567 Issued in TX
Practice address
3600 Gaston Ave
Wadley Tower, #261
Dallas, TX 75246-1800
Phone
(214) 823-6492
Fax
(214) 818-9180
NPI assigned
Jun 16, 2005
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X L5567 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L5567 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Wadley Tower, #261
Dallas, TX 75246-1800

Mailing address

3600 Gaston Ave
Barnett Tower, #707
Dallas, TX 75246-1800
Phone (214) 823-6492

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
I20050301000846 TX Practitioner - Pathology 1355394362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Vanderbilt University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 823-6492

3600 Gaston Ave
Dallas, TX 75246-1800
Phone (972) 966-7830

3600 Gaston Ave
Wadley Tower Suite 261
Dallas, TX 75246-1902

4708 Alliance Blvd
Suite 870
Plano, TX 75093-5347
Phone (972) 966-7860

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39832TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Bio-Medical Laboratories PLLC CurrentSince Aug 1, 2007 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2007 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Pathologists Biomedical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 2
Dallas, TX 75246
Phone (972) 966-7830

3600 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

800 8th Ave
Ste 326
Ft Worth, TX 76104
Phone (682) 225-3075

700 Walter Reed Blvd
Ste 209
Garland, TX 75042
Phone (972) 494-3657

1600 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 424-5350

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1650 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 481-1588

5236 W University Dr
Ste 2800
McKinney, TX 75071
Phone (469) 764-4105

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4708 Alliance Blvd
Ste 870
Plano, TX 75093
Phone (469) 361-2511

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2709 N Ben Wilson St
Victoria, TX 77901
Phone (361) 575-1111

2460 N Interstate Highway 35 E
Ste 230
Waxahachie, TX 75165
Phone (469) 764-4105

Organizations & group practices 5

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1508861527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "BARNETT TOWER, #707",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-6492",
            "fax_number": "214-818-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "WADLEY TOWER, #261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-6492",
            "fax_number": "214-818-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPES",
        "first_name": "GEORGE",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "TX",
            "license": "L5567",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L5567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.