Individual provider Active NPI

Paul Brandon McGeorge, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Jackson, MS
National Provider Identifier
1720510456
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-1779
NPI assigned
Mar 31, 2017
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220706002245 GA Practitioner - Diagnostic Radiology 1355611385 Reassigns benefits to 2 organizations
I20220729002229 TN Practitioner - Diagnostic Radiology 1355611385 Reassigns benefits to 3 organizations

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
Jackson Radiology Associates PAGroup PAC ID 6305893231, 28 clinicians
Jackson Clinic PAGroup PAC ID 2668376872, 171 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
74.15
Promoting interoperability
77
Improvement activities
40
Cost
78.84

Merit-based Incentive Payment System (MIPS)

Final score
74.73 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2022 Accepting new patients
Jackson Clinic PA Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Jackson Clinic PA CurrentSince Aug 1, 2022 Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Jackson Madison County General Hospital Diagnostic Radiology CurrentSince Oct 1, 2025 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.