George H Chaconas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101-038267 Issued in VA

Practice address

6675 Booker T Washington Hwy
Wirtz, VA 24184-4128

Phone

(540) 721-2118

Fax

(540) 721-6448

NPI assigned

Nov 10, 2005

Last updated

Apr 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Family Practice

Education

Eastern Virginia Medical School, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
• Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Centra Bedford Memorial Hospital Hospital, Bedford, VA, CCN 490088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: george.chaconas.1@16024.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Advanced Lipid Management

  • Medical Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1538459219
  Medicare reassignment Authorized official
• Burnt Chimney Family Medicine, P.C.

  • Family Medicine Physician
  • Wirtz, VA
  • NPI 1306123468
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Virginia Sub 2 LLC

  dba Amedisys Home Health of Lynchburg

  • Home Health Agency
  • Pulaski, VA
  • NPI 1164470738
  Care Compare affiliation
• Bedford Memorial Hospital

  • General Acute Care Hospital
  • Bedford, VA
  • NPI 1295728491
  Care Compare affiliation
• Carilion Franklin Memorial Hospital

  • General Acute Care Hospital
  • Rocky Mount, VA
  • NPI 1710970918
  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1720069354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 BOOKER T WASHINGTON HWY",
            "city": "WIRTZ",
            "state": "VA",
            "postal_code": "241844128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 BOOKER T WASHINGTON HWY",
            "city": "WIRTZ",
            "state": "VA",
            "postal_code": "241844128",
            "telephone_number": "540-721-2118",
            "fax_number": "540-721-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACONAS",
        "first_name": "GEORGE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-038267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5623758",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 5 Star Elite Services. LLC
• Above the Storm, LLC
• Stacy Keen Altice, PHARMD
• Eric C Bourhill, MD
• Burnt Chimney Family Medicine, P.C.
• Joseph Michael Chaudet, MSPT COMT
• Lauren Delp, MS OTR/L
• Family Preservation Services, Inc
• Family Presrvation Services, Inc
• Mary Jo Given, MS,PT

• Family Medicine Physician in Wirtz, VA
• Providers in Wirtz, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.

Verify at the official NPI Registry.