Individual provider Active NPI

Lori George

  • Family Medicine Physician
  • Texarkana, AR
National Provider Identifier
1760041180
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U1495 Issued in TX
Practice address
300 E 6TH St
Texarkana, AR 71854-5207
Phone
(870) 779-6000
Fax
(870) 779-6093
NPI assigned
Jun 10, 2019
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E15839 AR
Family Medicine Physician 207Q00000X E15839 AR
Family Medicine Physician 207Q00000X U1495 TX Primary

Addresses

Primary practice location

300 E 6TH St
Texarkana, AR 71854-5207

Mailing address

3417 U of a Way
Texarkana, AR 71854-1419
Phone (870) 779-6000

Other practice location 1

3502 Richmond Rd
Texarkana, TX 75503-0705
Phone (903) 614-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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
I20221005001545 AR Practitioner - Family Practice 0648506139 Reassigns benefits to 4 organizations
I20230208002674 TX Practitioner - Family Practice 0648506139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

3502 Richmond Rd
Texarkana, TX 75503-0705
Phone (903) 614-5270

4824 McKnight Rd
Texarkana, TX 75503-0935
Phone (903) 614-5800

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E15839ARMDFamily Medicine Physician
U1495TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Sep 16, 2022 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
HCC of Warren Hospitalist LLC Emergency Medicine CurrentSince Sep 16, 2022 Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince Sep 16, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 1, 2023 Accepting new patients
HCC of Magnolia LLC CurrentSince Sep 16, 2022 Accepting new patients
Ess Hospitalist LLC CurrentSince Sep 16, 2022 Accepting new patients
HCC of Warren LLC CurrentSince Sep 16, 2022 Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

3502 Richmond Rd
Texarkana, TX 75503
Phone (903) 223-9911

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: lgeorge302364@christushealth.direct-ci.net

Organizations & group practices 8

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 4

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1760041180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 U OF A WAY",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541419",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755030705",
            "country_code": "US",
            "telephone_number": "903-614-5270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E15839",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E15839",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.