Individual provider Active NPI

Georgia E Schafer Medina, MD

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1740856244
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61464354 Issued in WA
Practice address
721 S Auburn St
Kennewick, WA 99336-5629
Phone
(509) 547-2204
Fax
(833) 905-2269
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61464354 WA Primary

Addresses

Primary practice location

721 S Auburn St
Kennewick, WA 99336-5629

Mailing address

721 S Auburn St
Kennewick, WA 99336-5629
Phone (509) 547-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241112003324 WA Practitioner - Family Practice 5991100653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington State University Elson S Floyd College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Community HealthGroup PAC ID 4183517469, 25 clinicians

Practice addresses (Care Compare)

721 S Auburn St
Kennewick, WA 99336-5629
Phone (509) 547-2204

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health Family Medicine Current Accepting new patients
Tri-Cities Community Health CurrentSince Oct 1, 2024 Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

3180 W Clearwater Ave
Ste A
Kennewick, WA 99336

721 S Auburn St
Kennewick, WA 99336
Phone (509) 586-1157

515 W Court St
Pasco, WA 99301
Phone (509) 543-8520

829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331

Interoperability endpoints

  • Direct secure messaging: georgia.schafer.medina.1@21034.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1740856244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365629",
            "telephone_number": "509-547-2204",
            "fax_number": "833-905-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365629",
            "telephone_number": "509-547-2204",
            "fax_number": "833-905-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER MEDINA",
        "first_name": "GEORGIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61464354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.