Active NPI
Deborah Leigh Georgenes, NP-C
- Adult Health Nurse Practitioner
- Lexington, MA
National Provider Identifier
1679723233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A1207149
- Practice address
- 450 Bedford Street
Bedford Lexington Internal Medicine
Lexington, MA 02420 - Phone
- (781) 274-6274
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A1207149 | MA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | A1207149 | MA |
Addresses
Primary practice location
450 Bedford Street
Bedford Lexington Internal Medicine
Lexington, MA 02420
Mailing address
7 Mossdale Road
Jamaica Plain, MA 02130
Phone (781) 274-6274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523001584 | MA | Order and Referring Only - Nurse Practitioner | 0749348472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1207149 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women'S Faulkner Hospital, Inc | Current | Accepting new patients | |
| Bedford-Lexington Internal Medicine, PC | Past | Accepting new patients |
Interoperability endpoints
- georgenes.deborah.fh@direct.partners.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Internal Medicine Physician
- Lexington, MA
- NPI 1750495974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1679723233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MOSSDALE ROAD",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "781-274-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BEDFORD STREET",
"address_2": "BEDFORD LEXINGTON INTERNAL MEDICINE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02420",
"telephone_number": "781-274-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGENES",
"first_name": "DEBORAH",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-19",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "A1207149",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "A1207149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.