Individual provider Active NPI

Nyasha Kianne George, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1801138334
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD455955 Issued in PA
Practice address
2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone
(215) 320-6187
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD455955 PA Primary

Addresses

Primary practice location

2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014

Mailing address

2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone (215) 320-6187

Other practice location 1

501 W 14th St
2nd Floor Health Center
Wilmington, DE 19801-1013
Phone (302) 428-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190911003126 PA Practitioner - Family Practice 8022241991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Yale University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1101 Market St
FL 19
Philadelphia, PA 19107-2926

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455955PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
Aria Health Physician Services - Juniata Family Medicine CurrentSince May 31, 2022 Accepting new patients
Aria Health Physician Services Family Medicine Current Accepting new patients
Project Home CurrentSince Aug 20, 2019 Accepting new patients
Project Home CurrentSince Aug 20, 2019 Accepting new patients
Aria Health Physician Services Family Medicine CurrentSince May 31, 2022 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

833 Chestnut St
Ste 301
Philadelphia, PA 19107
Phone (215) 955-2363

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

1139 E Luzerne St
Philadelphia, PA 19124
Phone (215) 537-5094

2144 Cecil B Moore Ave
Philadelphia, PA 19121
Phone (215) 320-6187

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBGDD

Organizations & group practices 7

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 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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1801138334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 CECIL B MOORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214014",
            "telephone_number": "215-320-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 CECIL B MOORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214014",
            "telephone_number": "215-320-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_2": "2nd Floor Health Center",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-428-4410",
            "fax_number": "302-428-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NYASHA",
        "middle_name": "KIANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD455955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.