NPIMap

Individual provider Active NPI

George Bradford Cabe

  • Obstetrics & Gynecology Physician
  • Jasper, GA
National Provider Identifier
1528166972
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
64194 Issued in GA
Practice address
220 J L White Dr Ste 120
Jasper, GA 30143-4894
Phone
(706) 692-3539
NPI assigned
Sep 20, 2006
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 64194 GA Primary
Obstetrics & Gynecology Physician 207V00000X 204938 MA

Addresses

Primary practice location

220 J L White Dr Ste 120
Jasper, GA 30143-4894

Mailing address

PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986

Other practice location 1

1707 Meadows Ln Ste A
Vidalia, GA 30474-7201
Phone (912) 537-1014

Other practice location 2

101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Phone (912) 537-1014

Other identifiers 3

IdentifierTypeStateIssuer
J22792OtherMABLUE CROSS & BLUE SHIELD
131271OtherMAHARVARD PILGRIM
0123731MedicaidMA

Other names 1

  • George Bradford Cabe Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101013000732 GA Practitioner - Obstetrics/Gynecology 2264433200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

822 Industrial Blvd
Suite 201
Ellijay, GA 30540-3804
Phone (706) 635-3539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64194GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Mar 1, 2020 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 2026 Accepting new patients
Meadows Regional Medical Center Inc Current Accepting new patients
Morton Physician Associates Inc Obstetrics & Gynecology Past Accepting new patients
Piedmont Mountainside Hospital, Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

822 Industrial Blvd
Ste 201
Ellijay, GA 30540
Phone (706) 635-3539

220 J L White Dr
Ste 120
Jasper, GA 30143
Phone (706) 692-3539

Interoperability endpoints

  • Direct secure messaging: george.cabe1@gadirect.net

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 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1528166972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986",
            "fax_number": "912-538-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR STE 120",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434894",
            "telephone_number": "706-692-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Meadows Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747201",
            "country_code": "US",
            "telephone_number": "912-537-1014",
            "fax_number": "912-538-0979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Harris Industrial Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748852",
            "country_code": "US",
            "telephone_number": "912-537-1014",
            "fax_number": "912-538-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABE",
        "first_name": "GEORGE",
        "middle_name": "BRADFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "64194",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "204938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "J22792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "131271",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "CABE",
            "middle_name": "BRADFORD",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.