Individual provider Active NPI

Zachary Hale George, M.D.

  • Interventional Cardiology Physician
  • Gainesville, GA
National Provider Identifier
1548215825
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
98625 Issued in GA
Practice address
200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466
Phone
(770) 534-2020
NPI assigned
May 24, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28564 SC
Cardiovascular Disease Physician 207RC0000X 12165036-1205 UT
Interventional Cardiology Physician 207RI0011X 98625 GA Primary

Addresses

Primary practice location

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

877 W Faris Rd
Ste B
Greenville, SC 29605-5608
Phone (864) 455-6900

Other practice location 2

1870 N Main St Ste 201
Cedar City, UT 84721-7742
Phone (435) 215-0400

Other practice location 3

2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 215-0400

Other practice location 4

350 Falcon Ridge Pkwy Ste 500
Mesquite, NV 89027-8878
Phone (725) 333-9026

Other identifiers 2

IdentifierTypeStateIssuer
P00979555OtherSCRAILROAD MEDICARE
285649MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Central Utah Clinic, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060616000145 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355356080 Reassigns benefits to 2 organizations
I20210611002179 UT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1355356080 Reassigns benefits to 2 organizations
I20240312002534 GA Practitioner - Cardiovascular Disease (Cardiology) 1355356080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Institute LLCGroup PAC ID 4183848062, 127 clinicians

Practice addresses (Care Compare)

200 S Enota Dr NE
Suite 100
Gainesville, GA 30501-3466
Phone (770) 534-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting60
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98625GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Dec 23, 2022 Accepting new patients
Greenville Health System CurrentSince Jul 1, 2008 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 21, 2006 Accepting new patients
Georgia Heart Institute LLC Cardiovascular Disease CurrentSince Mar 6, 2024 Accepting new patients
Northeast Georgia Heart Center Cardiovascular Disease Current Accepting new patients
Greenville Health System Current Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Anmed Health CurrentSince Jul 21, 2006 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Dec 23, 2022 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Johnson Memorial Hospital Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

200 S Enota Dr NE
Ste 100
Gainesville, GA 30501
Phone (770) 219-0950

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

200 S Enota Dr NE
Ste 430
Gainesville, GA 30501
Phone 7705342020 ext. 72209

1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200

100 Healthy Way
Ste 1250
Anderson, SC 29621
Phone (864) 224-2465

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1548215825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ENOTA DR NE STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013466",
            "telephone_number": "770-534-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 W Faris Rd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296055608",
            "country_code": "US",
            "telephone_number": "864-455-6900",
            "fax_number": "864-255-5619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 N Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847217742",
            "country_code": "US",
            "telephone_number": "435-215-0400",
            "fax_number": "435-221-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 E Mall Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901954",
            "country_code": "US",
            "telephone_number": "435-215-0400",
            "fax_number": "435-221-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Falcon Ridge Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278878",
            "country_code": "US",
            "telephone_number": "725-333-9026",
            "fax_number": "725-333-9027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ZACHARY",
        "middle_name": "HALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "28564",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "12165036-1205",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "98625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00979555",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285649",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "2825 E Mall Dr",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847901954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.