Individual provider Active NPI

George Robert Hopkins, PA-C

  • Physician Assistant
  • Moline, IL
National Provider Identifier
1518939073
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-001052 Issued in IL
Practice address
106 19TH Ave
Suite 103
Moline, IL 61265-3700
Phone
(309) 779-7050
Fax
(309) 779-7055
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001640 IA
Physician Assistant 363A00000X 085-001052 IL Primary

Addresses

Primary practice location

106 19TH Ave
Suite 103
Moline, IL 61265-3700

Mailing address

106 19TH Ave
Suite 103
Moline, IL 61265-3700
Phone (309) 779-7050

Other identifiers 1

IdentifierTypeStateIssuer
970016964OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041123000872 IL Practitioner - Physician Assistant 7719942267 Reassigns benefits to 1 organization
I20060221000908 IA Practitioner - Physician Assistant 7719942267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 19TH Ave
Suite 103
Moline, IL 61265-3700
Phone (309) 779-7050

1417 Kimberly Rd
Bettendorf, IA 52722-4131
Phone (563) 949-4503

3415 53Rd Ave
Bettendorf, IA 52722-6976
Phone (563) 742-4350

3904 16TH St
Moline, IL 61265-1275

3912 16TH St
Moline, IL 61265-1275
Phone (309) 581-7600

3924 16TH St
Moline, IL 61265-1275
Phone (309) 779-5260

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

5185 Competition Dr
Bettendorf, IA 52722-8833
Phone (563) 888-5660

600 N College Ave
Suite 120
Geneseo, IL 61254-1095
Phone (309) 944-5342

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001640IAMDPhysician Assistant
085-001052ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Sep 13, 2016 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2012 Accepting new patients
Spinal Rehabilitation and Wellness Clinic, LLC Past Accepting new patients
Advanced Radiology, S.C. Past Accepting new patients
Neck to Back Rockford LLC Past Accepting new patients

Locations

5185 Competition Dr
Bettendorf, IA 52722
Phone (563) 888-5660

3415 53rd Ave
Bettendorf, IA 52722
Phone (563) 742-4350

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1417 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 742-4350

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

2351 W Locust St
Davenport, IA 52804
Phone (563) 324-0133

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

106 19th Ave
Ste 103
Moline, IL 61265
Phone (309) 779-7050

3904 16th St
Ste C
Moline, IL 61265
Phone (309) 581-7610

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: ghopkins92270@direct.unitypoint.org

Organizations & group practices 6

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.

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1518939073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE 103",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-779-7050",
            "fax_number": "309-779-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE 103",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-779-7050",
            "fax_number": "309-779-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001640",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970016964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.