Individual provider Active NPI

Rosalyn George, M.D.

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1639391931
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2008-00054 Issued in NC
Practice address
710 Military Cutoff Rd
Suite 320
Wilmington, NC 28405-2375
Phone
(910) 256-4350
Fax
(910) 239-5032
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MT183990 PA
Dermatology Physician 207N00000X 2008-00054 NC Primary

Addresses

Primary practice location

710 Military Cutoff Rd
Suite 320
Wilmington, NC 28405-2375

Mailing address

710 Military Cutoff Rd
Suite 320
Wilmington, NC 28405-2375
Phone (910) 256-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000440 NC Practitioner - Dermatology 0143395723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Dermatology Center PLLCGroup PAC ID 0042385627, 9 clinicians

Practice addresses (Care Compare)

710 Military Cutoff Rd
Suite 320
Wilmington, NC 28405-2382
Phone (910) 256-4350

Merit-based Incentive Payment System (MIPS)

Final score
93.52 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions768
Removal or shaving of skin growth1-10
Skin biopsy516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00054NCMDDermatology Physician
MT183990PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Dermatology Center, PLLC Dermatology CurrentSince Jul 18, 2008 Accepting new patients

Locations

710 Military Cutoff Rd
Ste 320
Wilmington, NC 28405
Phone (910) 256-3450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDFAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1639391931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD",
            "address_2": "SUITE 320",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052375",
            "telephone_number": "910-256-4350",
            "fax_number": "910-239-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD",
            "address_2": "SUITE 320",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052375",
            "telephone_number": "910-256-4350",
            "fax_number": "910-239-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ROSALYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT183990",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2008-00054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.