Individual provider Active NPI

Whitney Elaine George, PA-C

  • Physician Assistant
  • Avondale, AZ
National Provider Identifier
1639834989
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8803 Issued in AZ
Practice address
10450 W McDowell Rd Ste 101
Avondale, AZ 85392-4901
Phone
(623) 935-1000
Fax
(623) 935-1022
NPI assigned
Nov 2, 2021
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8803 AZ Primary

Addresses

Primary practice location

10450 W McDowell Rd Ste 101
Avondale, AZ 85392-4901

Mailing address

7024 N 80TH Ave Apt 1
Glendale, AZ 85303-2317
Phone (575) 956-5636

Other practice location 1

2152 S Vineyard
Mesa, AZ 85210-6871
Phone (480) 539-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20220111002324 AZ Practitioner - Physician Assistant 8426440041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G and K Medical Associates, P.C.Group PAC ID 4789668559, 7 clinicians

Practice addresses (Care Compare)

10450 W McDowell Rd
Avondale, AZ 85392-4901

10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4802
Phone (623) 935-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8803AZMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: whitney.george@gandkmed.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1639834989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 N 80TH AVE APT 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032317",
            "telephone_number": "575-956-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD STE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924901",
            "telephone_number": "623-935-1000",
            "fax_number": "623-935-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2152 S Vineyard",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106871",
            "country_code": "US",
            "telephone_number": "480-539-6646",
            "fax_number": "480-539-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "WHITNEY",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.