Anne Georgulas, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J2379 Issued in TX

Practice address

150 S Denton Tap Rd Ste 116
Coppell, TX 75019-3323

Phone

(972) 304-0091

Fax

(972) 393-0959

NPI assigned

Nov 3, 2006

Last updated

May 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: anne.georgulas.p1@direct.nevhc.nextgenshare.com

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.

• Northeast Valley Health Corporation

  dba Van Nuys Adult Health Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009
  Medicare reassignment NPD
• Northeast Valley Health Corporation

  dba Transitions to Wellness-Van Nuys Health Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1184625568
  NPD
• Northeast Valley Health Corporation

  dba SCV Dental and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1548960834
  NPD
• Childgrove Pediatrics

  • Legal Medicine
  • Coppell, TX
  • NPI 1568657658
  NPD (past)
• Ulanoski Associates, P.a.

  • Pediatrics Physician
  • Coppell, TX
  • NPI 1114360617
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1538248091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S DENTON TAP RD STE 116",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193323",
            "telephone_number": "972-304-0091",
            "fax_number": "972-393-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S DENTON TAP RD STE 116",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193323",
            "telephone_number": "972-304-0091",
            "fax_number": "972-393-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGULAS",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GD TX WJS PLLC (Wayne and Julie Scott DDS)
• Steven P Gellman, MD
• Greg Gemoules, O.D.
• Crystal Hummel George, CRC, LPC-A
• Jonathan George, DDS
• Nathan Gibson
• Deeborr Mbissine Gibune, D.C
• Valeria Gil, OTR/L
• Janice Gladney, OTR/L, BCTMB
• Katherine Glassey

• Pediatrics Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.