Active NPI
Paul Brandon McGeorge, M.D.
- Student in an Organized Health Care Education/Training Program
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-1779
- NPI assigned
- Mar 31, 2017
- Last updated
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Diagnostic Radiology Physician | 2085R0202X | 91807 | GA |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State Street
Jackson, MS 39216
Phone (601) 815-1779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Louisville School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1270 Union University Dr
Jackson, TN 38305-3856
Phone (731) 664-0103
145 Innovation Dr
Jackson, TN 38305-3019
Phone (731) 422-0213
161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 587-4261
17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104
1700 Woodlawn Ave
Dyersburg, TN 38024-2028
Phone (731) 287-4500
175 Hospital Dr
Camden, TN 38320-1617
Phone (731) 584-6135
187 Woodbridge Rd
Somerville, TN 38068-1220
Phone (901) 465-7526
270 E Court Ave
Selmer, TN 38375-2304
Phone (731) 645-7932
28 Medical Ctr Dr
Jackson, TN 38301-3947
Phone (731) 664-5150
2859 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375
2863 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 422-0330
294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 423-1932
300 Coatsland Dr
Jackson, TN 38301-3908
Phone (731) 541-8850
31 Sandstone Cir
Jackson, TN 38305-2073
Phone (731) 541-8854
367 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 661-2000
395 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 664-7395
587 Skyline Dr
Jackson, TN 38301-3938
Phone (731) 422-7901
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 658-3100
86 Stonebridge Blvd
Jackson, TN 38305-2038
Phone (731) 300-0227
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Volunteer Community Hospital
- West Tennessee Healthcare Milan Hospital
- West Tennessee Healthcare Camden Hospital
- West Tennessee Healthcare Bolivar Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 74.15
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 78.84
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.73 of 100
- Quality
- 80.7
- Improvement activities
- 40
- Cost
- 51.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Jackson Clinic PA | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Clinic PA | Current | Accepting new patients | |
| Jackson Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Madison County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
Locations
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
2859 Highway 45 Byp
Jackson, TN 38305
Phone (731) 660-8360
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
9 Physicians Dr
Jackson, TN 38305
Phone (731) 661-0086
Organizations & group practices 5
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.
-
dba JMCGH Radiology Professional
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1891687208
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
dba Jackson Clinc PA DME
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Tennessee Healthcare Bolivar Hospital
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
dba West Tennessee Healthcare Camden Hospital
- Critical Access Hospital
- Camden, TN
- NPI 1659347920
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
dba West Tennessee Healthcare Milan Hospital
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1720510456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE STREET",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-815-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEORGE",
"first_name": "PAUL",
"middle_name": "BRANDON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2022-06-13",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "91807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.