Jean Anne Georges, MSN, RN, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

679260 Issued in TX

Practice address

200 W 2ND St FL 3
Freeport, TX 77541-5773

Phone

(979) 705-0137

NPI assigned

Feb 24, 2012

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jean Crenshaw Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Spine and Pain MD PLLCGroup PAC ID 6103289483, 2 clinicians

Dynamic Wound Care LLCGroup PAC ID 0143674465, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Texas Spine & Pain MD PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paris, TX
  • NPI 1699468546
  Medicare reassignment Care Compare group NPD
• Dynamic Wound Care LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1598541427

  TX

  Medicare reassignment Care Compare group NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  TX

  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment
• Bay City Texas Anesthesiologists, PA

  • Anesthesiology Physician
  • Bay City, TX
  • NPI 1457491854
  NPD (past)
• Vanguard Geriatrics Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1356300420

  Adult Health

  NPD (past)
• Vanguard Geriatrics of Texas Inc

  • Primary Care Nurse Practitioner
  • Houston, TX
  • NPI 1801129515

  Adult Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1629342514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N BELLE DR",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153368",
            "telephone_number": "972-881-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 2ND ST FL 3",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775415773",
            "telephone_number": "979-705-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGES",
        "first_name": "JEAN",
        "middle_name": "ANNE",
        "credential": "MSN, RN, ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "679260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9454882",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "TXB102731",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "872N99",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "CRENSHAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Freeport Medical Clinic, PLLC
• Talia Fulsom, LVN
• Carmen Garcia-Garza, MSN, RN, FNP-C
• Aida Garza, LCDC
• Evelyn George, FNP
• Sherrell Gibson, FNP
• Corenia Ann Gonzales
• Adrianna Nicholle Grant-Rojas
• Isaiah L Harris Jr., D.D.S.
• Charles Herring, LCDC

• Adult Health Nurse Practitioner in Freeport, TX
• Providers in Freeport, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.