Active NPI
Evelyn George
- Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1000894
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1000894 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker Integrated Medical and Wellness, PLLC. | Family | Current | Accepting new patients |
| Copilotiq Medical PA | Current | Accepting new patients | |
| Copilotiq, PC | Current | Accepting new patients | |
| Karl Andrew Shepherd DC PA | Past | 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
- 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.
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1093472417
-
- Primary Care Clinic/Center
- Nashville, TN
- NPI 1144969767
-
- Chiropractor
- Plano, TX
- NPI 1588843460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.