Individual provider Active NPI

Alecia George

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1679935613
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C203807 Issued in CA
Practice address
17085 Camino San Bernardo Ste 100
San Diego, CA 92127-9701
Phone
(858) 988-7337
Fax
(858) 988-7338
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X C203807 CA Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X S1771 TX

Addresses

Primary practice location

17085 Camino San Bernardo Ste 100
San Diego, CA 92127-9701

Mailing address

17085 Camino San Bernardo Ste 100
San Diego, CA 92127-9701
Phone (858) 988-7337

Other practice location 1

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

Other practice location 2

5134 Peachtree Rd
Chamblee, GA 30341-2724
Phone (678) 872-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230801000139 GA Practitioner - Pediatric Medicine 4688078215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C203807CAMDPediatrics Physician
S1771TXMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph's Mercy Care Services, Inc. CurrentSince May 23, 2023 Accepting new patients
Saint Joseph's Mercy Care Services, Inc. CurrentSince May 23, 2023 Accepting new patients
Saint Joseph's Mercy Care Services, Inc. Current Accepting new patients
Saint Joseph's Mercy Care Services Inc Current Accepting new patients
Coast Pediatrics 4S Pediatrics Past Accepting new patients

Locations

1300 Joseph E Boone Blvd NW
Atlanta, GA 30314
Phone (404) 952-1201

275 Pryor St SW
Atlanta, GA 30303
Phone (678) 843-8840

424 Decatur St SE
Atlanta, GA 30312
Phone (678) 843-8500

5134 Peachtree Rd
Chamblee, GA 30341
Phone (678) 872-7100

Interoperability endpoints

  • Direct secure messaging: alecia.george@mercyatlanta.gadirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1679935613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17085 CAMINO SAN BERNARDO STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921279701",
            "telephone_number": "858-988-7337",
            "fax_number": "858-988-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17085 CAMINO SAN BERNARDO STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921279701",
            "telephone_number": "858-988-7337",
            "fax_number": "858-988-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5134 Peachtree Rd",
            "address_purpose": "LOCATION",
            "city": "Chamblee",
            "state": "GA",
            "postal_code": "303412724",
            "country_code": "US",
            "telephone_number": "678-872-7100",
            "fax_number": "678-872-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ALECIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C203807",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "S1771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.