Individual provider Active NPI

Georgette Michelle-Ann George, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1700058658
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3000 Issued in AZ
Practice address
5663 E Grant Rd
Tucson, AZ 85712-2211
Phone
(520) 433-4964
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3000 AZ Primary

Addresses

Primary practice location

5663 E Grant Rd
Tucson, AZ 85712-2211

Mailing address

5663 E Grant Rd
Tucson, AZ 85712-2211
Phone (520) 433-4964

Other identifiers 2

IdentifierTypeStateIssuer
FQ031815OtherMEDICARE
337108MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000624 AZ Practitioner - Nurse Practitioner 7416021373 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare, LLC CurrentSince Apr 14, 2022 Accepting new patients
Pathways Medical Partners CurrentSince Jan 1, 2024 Accepting new patients
MD NP Adult Medicine LLC Family CurrentSince Oct 3, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Associated Internists of Tucson, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
U2Rworthit1 LLC PastSince Oct 21, 2025 Accepting new patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients
Swea, P.C. Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

77 Calle Portal
Ste B260A
Sierra Vista, AZ 85635
Phone (520) 226-4338

1919 W Medical St
Tucson, AZ 85704
Phone (520) 297-7311

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

6211 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 408-4321

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 336-9179

Interoperability endpoints

  • Direct secure messaging: georgette.george.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 10

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1700058658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-433-4964",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-433-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GEORGETTE",
        "middle_name": "MICHELLE-ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FQ031815",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337108",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.