Individual provider Active NPI

Shali Alice George, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denton, TX
National Provider Identifier
1760064828
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1033044 Issued in TX
Practice address
2519 Scripture St
Denton, TX 76201-2324
Phone
(972) 982-0900
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1033044 TX Primary

Addresses

Primary practice location

2519 Scripture St
Denton, TX 76201-2324

Mailing address

1708 Pecan GRV
Carrollton, TX 75007-1429
Phone (214) 500-7386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610003471 TX Practitioner - Nurse Practitioner 1153721261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denton County MHMR CenterGroup PAC ID 0547159329, 16 clinicians

Practice addresses (Care Compare)

2519 Scripture St
Denton, TX 76201-2324
Phone (940) 381-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Psychiatry Associates PA CurrentSince Jun 1, 2021 Accepting new patients
Denton County MHMR Center CurrentSince May 1, 2024 Accepting new patients
Denton County MHMR Center Past Accepting new patients

Locations

2519 Scripture St
Denton, TX 76201
Phone (940) 381-5000

800 Kirnwood Dr
Desoto, TX 75115
Phone (817) 505-7081

4500 Hillcrest Rd
Ste 115
Frisco, TX 75035
Phone (469) 213-6400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1760064828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 PECAN GRV",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071429",
            "telephone_number": "214-500-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 SCRIPTURE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012324",
            "telephone_number": "972-982-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHALI",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1033044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.