George S. C. Tsai, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22284 Issued in NC

Practice address

301 South Indian Trail Road
Indian Trail, NC 28079-0430

Phone

(704) 821-7056

Fax

(775) 251-4575

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Indian Trail Medical Clinic, Inc.

  • Specialist
  • Indian Trail, NC
  • NPI 1790823672
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518047539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S. INDIAN TRAIL ROAD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "704-821-7056",
            "fax_number": "704-821-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH INDIAN TRAIL ROAD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280790430",
            "telephone_number": "704-821-7056",
            "fax_number": "775-251-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "GEORGE",
        "middle_name": "S. C.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "22284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01856",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Kaye Thomas, M. ED.
• Carrie Virginia Thompson, M. ED., CCC-SLP
• Timothy Ryan Tiberia
• Marleen Prychodko Traywick, FNP
• Wendy Jackson Truesdale, RPH
• Timothy Jerone Turner, DO
• Ubuntu Holistic Counseling & Consulting PLLC
• Union Health Services, LLC
• Union Health Services, LLC
• Union Physicians Network Inc

• Family Medicine Physician in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.