Active NPI
Amber George
- Nurse Practitioner
- Lincolnton, NC
National Provider Identifier
1780973743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5005112
- Practice address
- 433 McAlister Rd
1St Floor
Lincolnton, NC 28092-4147 - Phone
- (704) 512-5363
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005112 | NC | Primary |
Addresses
Primary practice location
433 McAlister Rd
1St Floor
Lincolnton, NC 28092-4147
Mailing address
433 McAlister Rd
Lincolnton, NC 28092-4147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005112 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterside Dermatology and Laser Center PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2216/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Dermatology Physician
- Denver, NC
- NPI 1477782076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1780973743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 MCALISTER RD",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 MCALISTER RD",
"address_2": "1ST FLOOR",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924147",
"telephone_number": "704-512-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.