Individual provider Active NPI

George John Hatsios, MD

  • Diagnostic Radiology Physician
  • Gastonia, NC
National Provider Identifier
1770566515
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200000450 Issued in NC
Practice address
620 Summit Crossing PL
Suite 106
Gastonia, NC 28054-2176
Phone
(704) 867-8021
Fax
(704) 864-4606
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 200000450 NC
Diagnostic Radiology Physician 2085R0202X 200000450 NC Primary

Addresses

Primary practice location

620 Summit Crossing PL
Suite 106
Gastonia, NC 28054-2176

Mailing address

839 Majestic CT Ste 4
Gastonia, NC 28054-5152
Phone (704) 867-8021

Other identifiers 9

IdentifierTypeStateIssuer
89126PJMedicaidNC
300110410OtherRAILROAD MEDICARE
1643192OtherUNITED HEALTHCARE
2353084OtherAETNA HMO
37296OtherPARTNERS
N00452MedicaidSC
126PJOtherBLUE CROSS BLUE SHIELD
7837131OtherAETNA PPO
98467OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100924001204 NC Practitioner - Diagnostic Radiology 5799801916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State Un of Ny, Buffalo School of Dental Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Radiological Services PAGroup PAC ID 2466349055, 4 clinicians
Gaston Radiology PAGroup PAC ID 4082680806, 29 clinicians

Practice addresses (Care Compare)

434 Hospital Dr
Linville, NC 28646-0787
Phone (828) 737-7000

620 Summit Crossing Place
Suite 106
Gastonia, NC 28054-2176
Phone (704) 864-4378

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000450NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Gaston Radiology PA Diagnostic Radiology CurrentSince Jul 1, 2000 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Watauga Radiological Services PA Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients

Locations

1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

336 Burtonwood Dr
Gastonia, NC 28054
Phone (704) 867-8021

2345 Court Dr
Gastonia, NC 28054
Phone (704) 833-3103

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378

2555 Court Dr
Gastonia, NC 28054
Phone (704) 867-2141

861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

1780 Medical Park Dr
Rock Hill, SC 29732
Phone (803) 327-1116

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.

Hospital & facility affiliations 9

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1770566515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT STE 4",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545152",
            "telephone_number": "704-867-8021",
            "fax_number": "704-867-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PL",
            "address_2": "SUITE 106",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542176",
            "telephone_number": "704-867-8021",
            "fax_number": "704-864-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATSIOS",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NC",
            "license": "200000450",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200000450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126PJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300110410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1643192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2353084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "37296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00452",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126PJ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7837131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "98467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.