Active NPI
George Theodore Talbot III, MD
- Obstetrics & Gynecology Physician
- Mooresville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35-072719
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015938 | Medicaid | OH |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-072719 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Hills OB-GYN Associates LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Southside OB-GYN PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Medical Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Seven Hills OB-GYN Associates, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | 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
- george.talbot@axia.eclinicaldirectplus.com
- 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.
-
dba Axia Women's Health Midwest Laboratory
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
IN, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1518186881
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1649447582
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
- Jacqueline M Stroud, RN, MSN
- Laura Sullivan, MS, LMFT
- David James Szentes, M.D.
- Jennifer Claire Tackitt, LCSW
- Virginia Ann Takagi, MD
- Todd Andrew Taylor, DDS
- The Health and Hospital Corporation of Marion County (Meadow Lakes)
- Thomas a Brady Sports Medicine Center, PC (Forte Sports Medicine and Orthopedics)
- Karri Dee Thomas, FNP-BC
- Mandi Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.