Dr. Todd J, Georges, P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DR. TODD J, GEORGES, P.C.

Doing business as

Ridge Farm Medical Health and Wellness

Practice address

100 N. State Street
Ridge Farm, IL 61870-0000

Phone

(217) 247-2473

Fax

(217) 247-2454

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd Jeremy Georges, D.C.NPI 1104922574

Title

Owner

Phone

(217) 247-2473

Specialties & licenses 1

Addresses

Other names 1

• Ridge Farm Medical Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd Georges

  • Chiropractor
  • Ridge Farm, IL
  • NPI 1104922574
  Medicare reassignment NPD Authorized official
• Robin L Hudson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Madison, IN
  • NPI 1972738359
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1740515626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. STATE STREET",
            "city": "RIDGE FARM",
            "state": "IL",
            "postal_code": "618700000",
            "telephone_number": "217-247-2473",
            "fax_number": "217-247-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. STATE STREET",
            "city": "RIDGE FARM",
            "state": "IL",
            "postal_code": "618700000",
            "telephone_number": "217-247-2473",
            "fax_number": "217-247-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TODD J, GEORGES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "GEORGES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-247-2473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Farm Medical Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Daily
• Todd Georges
• Victoria Johnson

• Family Nurse Practitioner in Ridge Farm, IL
• Providers in Ridge Farm, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.