Madison Rose Georgiana, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17253 Issued in TX

Practice address

9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635

Phone

(214) 557-4111

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MCS Dallas Medical, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1528422755
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1821864588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N PEARL ST APT 3108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LYNDON B JOHNSON FWY STE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434635",
            "telephone_number": "214-557-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIANA",
        "first_name": "MADISON",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silby Joy George
• Sonya George, MD
• Suja George, APRN
• Peter Nady Ishak Georgei
• Georgia Outpatient Services PC
• Elias L Georgopoulos, O.D.
• Stephanie Georgoudiou, ARNP
• John M Georgy, DO
• Thomas D Geppert, M.D.
• Samia Geraghty, LPC

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.