NPIMap

Individual provider Active NPI

George T Charlton, M.D.

  • Cardiovascular Disease Physician
  • Newport, RI
National Provider Identifier
1639391741
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13666 Issued in RI
Practice address
19 Friendship St
Ste 260 Borden Cary BLDG
Newport, RI 02840-2272
Phone
(401) 845-1201
Fax
(401) 845-1291
NPI assigned
May 2, 2007
Last updated
Jun 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13666 RI Primary

Addresses

Primary practice location

19 Friendship St
Ste 260 Borden Cary BLDG
Newport, RI 02840-2272

Mailing address

19 Friendship St
Ste 260 Borden Cary BLDG
Newport, RI 02840-2272
Phone (401) 845-1201

Other identifiers 1

IdentifierTypeStateIssuer
1639391741MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20140624000151 RI Practitioner - Cardiovascular Disease (Cardiology) 9739226051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

1454 S County TRL
Suite 2000
East Greenwich, RI 02818-1750
Phone (401) 606-1100

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13666RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2014 Accepting new patients
The Miriam Hospital CurrentSince Jul 1, 2014 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2014 Accepting new patients
The Miriam Hospital Current Accepting new patients
Lifespan Corporation Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Rhode Island Hospital Cardiovascular Disease CurrentSince Jan 2, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Jan 2, 2024 Accepting new patients
The Miriam Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
LGLN Cardiology Consultants,LLC Cardiovascular Disease Past Accepting new patients

Locations

1454 S County Trl
Ste 2000
East Greenwich, RI 02818
Phone (401) 606-1100

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

19 Friendship St
Unit 260
Newport, RI 02840
Phone (401) 845-1201

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

593 Eddy St
Providence, RI 02903

593 Eddy St
Bldg 1ST
Providence, RI 02903
Phone (401) 444-5803

Interoperability endpoints

  • Direct secure messaging: gcharlton6641@brownhealth.medalliesdirect.net

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 9

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1639391741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST",
            "address_2": "STE 260 BORDEN CARY BLDG",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402272",
            "telephone_number": "401-845-1201",
            "fax_number": "401-845-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST",
            "address_2": "STE 260 BORDEN CARY BLDG",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402272",
            "telephone_number": "401-845-1201",
            "fax_number": "401-845-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "GEORGE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "13666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639391741",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.