NPIMap

Individual provider Active NPI

Jim George, M.D.

  • Family Medicine Physician
  • Forney, TX
National Provider Identifier
1619288230
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P3722 Issued in TX
Practice address
763 E US Highway 80
Suite 240
Forney, TX 75126-8633
Phone
(469) 689-0100
NPI assigned
Jun 29, 2010
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P3722 TX Primary

Addresses

Primary practice location

763 E US Highway 80
Suite 240
Forney, TX 75126-8633

Mailing address

763 E US Highway 80
Suite 240
Forney, TX 75126-8633
Phone (469) 689-0100

Other identifiers 1

IdentifierTypeStateIssuer
P3722OtherTXTX LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgeorge257439@direct.sw.org

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
I20131010000651 TX Practitioner - Family Practice 3779717574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 1, 2016 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

763 E US Highway 80
Ste 240
Forney, TX 75126
Phone (469) 689-0100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

9500 Lakeview Pkwy
Ste 200
Rowlett, TX 75088
Phone (214) 553-9009

Organizations & group practices 3

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 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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1619288230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80",
            "address_2": "SUITE 240",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268633",
            "telephone_number": "469-689-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80",
            "address_2": "SUITE 240",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268633",
            "telephone_number": "469-689-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LIC",
            "identifier": "P3722",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgeorge257439@direct.sw.org",
            "affiliation": "N",
            "address_1": "763 E US Highway 80",
            "address_2": "Suite 240",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751268633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.