Individual provider Active NPI

Michael David George, FNP

  • Family Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1780294462
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214912 Issued in LA
Practice address
812 Joe Yenni Blvd Apt 2
Kenner, LA 70065-1232
Phone
(504) 417-0893
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 214912 LA Primary

Addresses

Primary practice location

812 Joe Yenni Blvd Apt 2
Kenner, LA 70065-1232

Mailing address

812 Joe Yenni Blvd Apt 2
Kenner, LA 70065-1232
Phone (504) 417-0893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201202001470 LA Practitioner - Nurse Practitioner 4284045998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

111 C Robert E Lee Blvd
New Orleans, LA 70124-2534
Phone (504) 286-2004

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 29, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 29, 2020 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

27342 Juban Rd
Ste 102
Denham Springs, LA 70726
Phone (225) 388-6130

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

1849 Barataria Blvd
Ste B
Marrero, LA 70072
Phone (504) 309-5015

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

1514 Jefferson Hwy
New Orleans, LA 70121

201 Decatur St
New Orleans, LA 70130
Phone (504) 302-9670

4100 Canal St
New Orleans, LA 70119
Phone (504) 218-4853

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

701 Poydras St
Ste 107
New Orleans, LA 70139
Phone (504) 354-3651

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

9605 Jefferson Hwy
Ste G
River Ridge, LA 70123
Phone (337) 853-0999

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: mgeorge20291@direct.ochsner.org

Organizations & group practices 5

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 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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1780294462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 JOE YENNI BLVD APT 2",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651232",
            "telephone_number": "504-417-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 JOE YENNI BLVD APT 2",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651232",
            "telephone_number": "504-417-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.