Individual provider Active NPI

George Olaf Mead, MD

  • Diagnostic Radiology Physician
  • Crossville, TN
National Provider Identifier
1548286602
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18054 Issued in TN
Practice address
396 Laurel Cir
Crossville, TN 38555-0109
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18054 TN Primary

Addresses

Primary practice location

396 Laurel Cir
Crossville, TN 38555-0109

Mailing address

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 766-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080926000543 TN Practitioner - Diagnostic Radiology 1658448212 Reassigns benefits to 3 organizations
I20220307001276 MS Practitioner - Diagnostic Radiology 1658448212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians

Practice addresses (Care Compare)

2001 Laurel Ave
Knoxville, TN 37916-1810
Phone (865) 546-9484

Hospital & facility affiliations

  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
75.62
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Health Diagnostic Centers, LLC CurrentSince Jan 1, 2026 Accepting new patients
North Mississippi Radiology Services LLC Diagnostic Radiology CurrentSince Nov 26, 2021 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

10 Little Brook Rd
West Wareham, MA 02576

7420 Guthrie Dr N
Ste 105
Southaven, MS 38671
Phone (716) 435-5044

Dept 888302
Knoxville, TN 37995

7625 Chapman Hwy
Ste 105
Knoxville, TN 37920
Phone (865) 331-8550

Organizations & group practices 4

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 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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1548286602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-766-6870",
            "fax_number": "865-766-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 LAUREL CIR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385550109",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "GEORGE",
        "middle_name": "OLAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "18054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.