NPIMap

Individual provider Active NPI

George Thomas, MD

  • Internal Medicine Physician
  • Mineral Wells, TX
National Provider Identifier
1548464134
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N1181 Issued in TX
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone
(940) 328-6396
Fax
(940) 328-6361
NPI assigned
Jun 14, 2007
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP1-0024050 TX
Internal Medicine Physician 207R00000X N1181 TX Primary

Addresses

Primary practice location

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6521

Other identifiers 1

IdentifierTypeStateIssuer
N1181OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081202000357 TX Practitioner - Internal MedicinePractitioner - Family Practice 7315008984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

101 Holly Hill Rd
Suite B
Mineral Wells, TX 76067-5005
Phone (940) 463-7101

118 S Main
Gordon, TX 76453-1111
Phone (254) 693-5211

13965 S FM
Santo, TX 76472-3436
Phone (940) 769-2303

202 SW 25TH Ave
Mineral Wells, TX 76067-8462

202 SW 25TH Ave
1200 Palo Pinto Urology
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

202 SW 25TH Ave
300 Palo Pinto General Hospital
Mineral Wells, TX 76067-8242
Phone (940) 328-6521

202 SW 25TH Ave
800 Palo Pinto Cares for Kids
Mineral Wells, TX 76067-8460
Phone (940) 328-7588

202 SW 25TH St
800 Palo Pinto General Hospital Pulmonology
Mineral Wells, TX 76067-8460
Phone (940) 328-7586

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

55 S FM 2353 a
Possum Kingdom Family Health
Graford, TX 76449-3251
Phone (940) 664-2169

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0024050TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jun 28, 2021 Accepting new patients
Palo Pinto County Hospital District Internal Medicine Current Accepting new patients
Palo Pinto County Hospital District CurrentSince Oct 31, 2010 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 28, 2021 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Internal Medicine CurrentSince Oct 31, 2010 Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

118 S Main St
Gordon, TX 76453
Phone (254) 693-5211

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

101 Holly Hill Rd
Mineral Wells, TX 76067
Phone (940) 325-6831

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

13965 S FM 4
Santo, TX 76472
Phone (940) 769-2018

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mineral Wells Family HealthMineral Wells, TX, CCN 458832 Rural health clinic Corporate Director (100%) Aug 1, 2022
Community Care CenterMineral Wells, TX, CCN 458653 Rural health clinic Corporate Director Sep 1, 2017
Gordon Family HealthGordon, TX, CCN 458548 Rural health clinic Corporate Director Sep 1, 2017
Santo Family HealthSanto, TX, CCN 673416 Rural health clinic Corporate Director Sep 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 3

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1548464134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6521",
            "fax_number": "940-328-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6396",
            "fax_number": "940-328-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0024050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N1181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.