Tracy Privette George, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN1519 Issued in SC

Practice address

201 W Hampton St
Dillon, SC 29536-3333

Phone

(843) 774-5611

NPI assigned

Sep 6, 2005

Last updated

Jul 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  SC

  Medicare reassignment NPD
• Caresouth Carolina, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartsville, SC
  • NPI 1720082571
  Medicare reassignment
• State of South Carolina

  dba SC Department of Public Health

  • Public Health or Welfare Agency
  • Dillon, SC
  • NPI 1073696662
  NPD (past)
• State of South Carolina Comptroller General

  dba Veteran Village

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)
• Habersham County Health Department

  • Public Health or Welfare Agency
  • Demorest, GA
  • NPI 1235185935
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1669466710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHURCH ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651306",
            "telephone_number": "843-752-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HAMPTON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363333",
            "telephone_number": "843-774-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TRACY",
        "middle_name": "PRIVETTE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN1519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0575",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra McQueen Fling, NP
• Focus Pointe Health
• G&G Homecare Services LLC
• Victoria Michelle Galuppo, FNP-BC, APRN
• Jeffrey R Geer, OD
• Ryan Douglas Gilbert, M.D.
• Demetrice Nichole Gist, RN
• Vicki Godbold
• Terri B. Godbolt, MENTAL HEALTH COUNSE
• Brittany Godwin

• Family Nurse Practitioner in Dillon, SC
• Providers in Dillon, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.