Individual provider Active NPI

Evelyn George

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1689200289
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1000894 Issued in TX
Practice address
5294 Belt Line Rd Ste 214785
Dallas, TX 75254-7571
Phone
(214) 785-2200
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1000894 TX Primary

Addresses

Primary practice location

5294 Belt Line Rd Ste 214785
Dallas, TX 75254-7571

Mailing address

5306 Hidden Creek Rd
Garland, TX 75043-6481
Phone (214) 862-4694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, GA, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211208003385 TX Practitioner - Nurse Practitioner 7618367533 Reassigns benefits to 1 organization
I20240625000304 FL Practitioner - Nurse Practitioner 7618367533 Reassigns benefits to 1 organization
I20240708002495 GA Practitioner - Nurse Practitioner 7618367533 Reassigns benefits to 1 organization
I20240708002885 AL Practitioner - Nurse Practitioner 7618367533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Copilotiq PCGroup PAC ID 7810392040, 8 clinicians

Practice addresses (Care Compare)

1430 Gadsden Hwy
Birmingham, AL 35235-3103
Phone (205) 573-1729

1910 Pacific Ave
Suite 2000
Dallas, TX 75201-4540
Phone (615) 412-8777

3343 Peachtree Rd NE
Atlanta, GA 30326-1044
Phone (615) 412-8777

6271 Saint Augustine Rd
Jacksonville, FL 32217-2523
Phone (615) 412-8777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1000894TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Integrated Medical and Wellness, PLLC. Family CurrentSince Nov 1, 2021 Accepting new patients
Copilotiq Medical PA CurrentSince May 1, 2024 Accepting new patients
Copilotiq, PC CurrentSince May 1, 2024 Accepting new patients
Karl Andrew Shepherd DC PA PastSince Nov 1, 2021 Accepting new patients

Locations

1430 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 451-2093

1 Chase Corporate Dr
Ste 400
Hoover, AL 35244
Phone (205) 538-3076

6271 Saint Augustine Rd
Jacksonville, FL 32217
Phone (615) 412-8777

6900 Tavistock Lakes Blvd
Ste 400
Orlando, FL 32827
Phone (407) 967-0446

191 Peachtree St NE
Fl 14
Atlanta, GA 30303
Phone (404) 502-1905

3343 Peachtree Rd NE
Atlanta, GA 30326
Phone (615) 412-8777

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1910 Pacific Ave
Ste 2000
Dallas, TX 75201
Phone (615) 412-8777

4709 W Parker Rd
Ste 440
Plano, TX 75093
Phone (972) 212-5725

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1689200289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 HIDDEN CREEK RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750436481",
            "telephone_number": "214-862-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5294 BELT LINE RD STE 214785",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547571",
            "telephone_number": "214-785-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2023-01-25",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1000894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.