Active NPI
Steven Edward George, MD
- Obstetrics & Gynecology Physician
- Fort Bragg, NC
National Provider Identifier
1558438226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 9601613
- Practice address
- 2817 Reilly Road
Ft Bragg, NC 28310 - Phone
- (910) 907-8176
- Fax
- (910) 907-7463
- NPI assigned
- Nov 29, 2006
- Last updated
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16766 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | 9601613 | NC | Primary |
Addresses
Primary practice location
2817 Reilly Road
Ft Bragg, NC 28310
Mailing address
2817 Reilly Road
Ft Bragg, NC 28310
Phone (910) 907-8176
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06302268 | Medicaid | MS | |
| 115804 | Medicaid | AL | |
| 73020227 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16766 | AL | MD | Pharmacist |
| 9601613 | NC | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- steven.george.1@1215.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1558438226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"city": "FT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8176",
"fax_number": "910-907-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"city": "FT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8176",
"fax_number": "910-907-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "STEVEN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "16766",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "9601613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06302268",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115804",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "73020227",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.