Active NPI
Georgia Ann Prescott, M.D.
- Pediatrics Physician
- Williamsburg, VA
National Provider Identifier
1720032618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101026527
- Practice address
- 119 Bulifants Blvd
Williamsburg, VA 23188-5709 - Phone
- (757) 564-7337
- Fax
- (757) 564-3205
- NPI assigned
- May 22, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101026527 | VA | Primary |
Addresses
Primary practice location
119 Bulifants Blvd
Williamsburg, VA 23188-5709
Mailing address
119 Bulifants Blvd
Williamsburg, VA 23188-5747
Phone (757) 564-7337
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53853 | Other | SENTARA/OPTIMA | |
| 12-02008 | Other | UNITED HEALTHCARE | |
| 1478323 | Other | CIGNA | |
| 2179104 | Other | AETNA HMO | |
| 8128041 | Other | MAMSI/MDIPA | |
| 010126100 | Other | VA PREMIERE HEALTH PLAN | |
| 54-1778786 | Other | FIRST HEALTH/MAIL HANDLER | |
| 54-1778786 | Other | PHCS | |
| 54-1778786-032 | Other | TRICARE/CHAMPUS | |
| 54-1778786 | Other | VA HEALTH NETWORK | |
| 54-1778786 | Other | MID ATLANTIC HEALTH SOLUT | |
| 010126100 | Medicaid | VA | |
| 54-1778786 | Other | CCN | |
| 249648 | Other | SOUTHERN HEALTH | |
| 4207833 | Other | AETNA | |
| 153986 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101026527 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1720032618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885747",
"telephone_number": "757-564-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885709",
"telephone_number": "757-564-7337",
"fax_number": "757-564-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "GEORGIA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101026527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "53853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-02008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1478323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2179104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/MDIPA",
"identifier": "8128041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIERE HEALTH PLAN",
"identifier": "010126100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/MAIL HANDLER",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "54-1778786-032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC HEALTH SOLUT",
"identifier": "54-1778786",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010126100",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "249648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4207833",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "153986",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.