Active NPI
Kaleb George
- Social Worker
- Dublin, GA
National Provider Identifier
1790404531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW.15172
- Practice address
- 1826 Veterans Blvd
Dublin, GA 31021-3620 - Phone
- (478) 272-1210
- NPI assigned
- Aug 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW010849 | GA | |
| Social Worker | 104100000X | SW.15172 | SC | Primary |
Addresses
Primary practice location
1826 Veterans Blvd
Dublin, GA 31021-3620
Mailing address
618 S Railroad Ave
Twin City, GA 30471-4314
Phone (912) 690-7135
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW010849 | GA | MD | Social Worker |
| SW.15172 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1790404531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 S RAILROAD AVE",
"city": "TWIN CITY",
"state": "GA",
"postal_code": "304714314",
"telephone_number": "912-690-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 VETERANS BLVD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213620",
"telephone_number": "478-272-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "KALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW010849",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "SW.15172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
- General and Thoracic Surgery of Georgia,LLC
- Genesis Treatment Center
- Sue Avery Gentry, CRNA
- Arun George, M.D.
- Joyce A. George, RD LD
- Mattie Ruth George, RN
- Georgia Blood and Cancer Pharmacy LLC
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 05353)
- Georgia Dermasurgery Centers, Inc.
- Georgia Dermatology & Skin Cancer Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.