Individual provider Active NPI

George T Zolovick, M.D.

  • Obstetrics & Gynecology Physician
  • Blacksburg, VA
National Provider Identifier
1750471579
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101231411 Issued in VA
Practice address
826 Davis St
Blacksburg, VA 24060-7010
Phone
(540) 951-1550
Fax
(540) 951-7427
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101231411 VA Primary

Addresses

Primary practice location

826 Davis St
Blacksburg, VA 24060-7010

Mailing address

2000 Health Park Dr FL HP2
Brentwood, TN 37027-4692
Phone (615) 373-7600

Other practice location 1

614 E Main St Ste A
Radford, VA 24141-1818
Phone (540) 443-0500

Other practice location 2

133 Bostic Ln
Pembroke, VA 24136-3678
Phone (540) 443-0500

Other practice location 3

826 Davis St
Blacksburg, VA 24060-7010
Phone (540) 443-0500

Other identifiers 2

IdentifierTypeStateIssuer
6206573MedicaidVA
1750471579MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GEORGE.ZOLOVICK@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101101000648 VA Practitioner - Obstetrics/Gynecology 4183760614 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1750471579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 DAVIS ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607010",
            "telephone_number": "540-951-1550",
            "fax_number": "540-951-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 E Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241411818",
            "country_code": "US",
            "telephone_number": "540-443-0500",
            "fax_number": "540-553-0526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Bostic Ln",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "VA",
            "postal_code": "241363678",
            "country_code": "US",
            "telephone_number": "540-443-0500",
            "fax_number": "540-553-0526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 Davis St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607010",
            "country_code": "US",
            "telephone_number": "540-443-0500",
            "fax_number": "540-553-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLOVICK",
        "first_name": "GEORGE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101231411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6206573",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750471579",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GEORGE.ZOLOVICK@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "826 Davis St",
            "city": "Blacksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240607010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.