Individual provider Active NPI

George Theodore Talbot III, MD

  • Obstetrics & Gynecology Physician
  • Mooresville, IN
National Provider Identifier
1669470126
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-072719 Issued in OH
Practice address
1205 Hadley Rd
Mooresville, IN 46158-1737
Phone
(317) 584-3454
Fax
(317) 584-3435
NPI assigned
Jul 8, 2005
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-072719 OH Primary

Addresses

Primary practice location

1205 Hadley Rd
Mooresville, IN 46158-1737

Mailing address

8051 S Emerson Ave Ste 400
Indianapolis, IN 46237-8633
Phone (317) 865-3600

Other identifiers 1

IdentifierTypeStateIssuer
2015938MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210315001412 IN Practitioner - Obstetrics/Gynecology 1850325945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0856

8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-072719OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Southside OB-GYN PC Obstetrics & Gynecology CurrentSince Nov 13, 2020 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Wright State Physicians Inc Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 E State Road 62
Ste 2F
Madison, IN 47250
Phone (812) 801-0856

1205 Hadley Rd
Mooresville, IN 46158
Phone (317) 584-3454

1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454

1465 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0001

1190 W Main St
Ste 200
Vevay, IN 47043
Phone (812) 427-9423

Interoperability endpoints

  • Direct secure messaging: george.talbot@axia.eclinicaldirectplus.com
  • Direct secure messaging: gtalbot533669@direct.franciscanalliance.org

Organizations & group practices 7

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1669470126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378633",
            "telephone_number": "317-865-3600",
            "fax_number": "317-885-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581737",
            "telephone_number": "317-584-3454",
            "fax_number": "317-584-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "GEORGE",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-072719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.