Individual provider Active NPI

Adrienne Philomena George, MD

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1679505630
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME92177 Issued in FL
Practice address
1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone
(850) 877-5767
Fax
(850) 877-5055
NPI assigned
Jul 7, 2006
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 ME92177 FL Primary

Addresses

Primary practice location

1219 Hodges Dr
Tallahassee, FL 32308-4611

Mailing address

1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone (850) 877-5767

Other identifiers 2

IdentifierTypeStateIssuer
271612700MedicaidFL
64068OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADRIENNE.GEORGE@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050405000070 FL Practitioner - Obstetrics/Gynecology 6103873922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health FL, PAGroup PAC ID 5092253245, 33 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 220
Tallahassee, FL 32308-8417
Phone (850) 391-3880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health FL P.a. Obstetrics & Gynecology CurrentSince Oct 6, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Absolute OBGYN LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

2770 Capital Medical Blvd
Ste 220
Tallahassee, FL 32308
Phone (850) 391-3880

Interoperability endpoints

  • Direct secure messaging: adrienne.george.1@23211.direct.athenahealth.com
  • Direct secure messaging: adrienne.george@hca5.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Organizations & group practices 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679505630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084611",
            "telephone_number": "850-877-5767",
            "fax_number": "850-877-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084611",
            "telephone_number": "850-877-5767",
            "fax_number": "850-877-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ADRIENNE",
        "middle_name": "PHILOMENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME92177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271612700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64068",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADRIENNE.GEORGE@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1219 Hodges Dr",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323084611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.