NPIMap

Individual provider Active NPI

Anil George, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1679639470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 76065 Issued in FL
Practice address
580 W 8TH St
# 6009
Jacksonville, FL 32209-6533
Phone
(904) 244-9470
NPI assigned
Dec 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 76065 FL Primary

Addresses

Primary practice location

580 W 8TH St
# 6009
Jacksonville, FL 32209-6533

Mailing address

580 W 8TH St
# 6009
Jacksonville, FL 32209-6533
Phone (904) 244-9470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826001305 FL Practitioner - Family PracticePractitioner - Internal Medicine 9234104944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anil George MD PAGroup PAC ID 8628096195, 5 clinicians

Practice addresses (Care Compare)

915 W Monroe St
Suite 301
Jacksonville, FL 32204-1177
Phone (904) 353-8562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 76065FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anil George MD PA Internal Medicine CurrentSince Oct 25, 2001 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Neeru Arora MD PA Past Accepting new patients
Shands Jacksonville Medical Center Inc Past Accepting new patients

Locations

580 W 8th St
#6009
Jacksonville, FL 32209
Phone (904) 244-9470

580 W 8th St
Ste 6009
Jacksonville, FL 32209
Phone (904) 244-9470

915 W Monroe St
Ste 301
Jacksonville, FL 32204
Phone (904) 353-8562

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBAAA

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679639470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST",
            "address_2": "# 6009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "904-244-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST",
            "address_2": "# 6009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "904-244-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 76065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.