Active NPI
Joanna George
- Physician Assistant
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5400
- Practice address
- 220 S Van Buren St
Enid, OK 73703-5812 - Phone
- (580) 234-9355
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- Clinical Medical Laboratory
- Monroeville, PA
- NPI 1851634752
-
- Rural Health Clinic/Center
- Enid, OK
- NPI 1508435330
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Williams Medical Group Practice, LLC
Practice addresses (Care Compare)
220 S Van Buren St
Enid, OK 73703-5812
Phone (580) 234-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240701000601 | PA | Practitioner - Physician Assistant | 4880138973 | Reassigns benefits to 1 organization |
| I20241018001524 | OK | Practitioner - Physician Assistant | 4880138973 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5400 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Premier Medical Associates PC | Current | Accepting new patients | |
| Premier Medical Associates, PC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Past | Accepting new patients |
Locations
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
701 Cedar Lake Blvd
Ste 160
Oklahoma City, OK 73114
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800
3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5400 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
220 S Van Buren St
Enid, OK 73703-5812
Mailing address
4055 Valley View LN
Dallas, TX 75244-5074
Phone (855) 984-5121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2024.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1831957331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445074",
"telephone_number": "855-984-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S VAN BUREN ST",
"city": "ENID",
"state": "OK",
"postal_code": "737035812",
"telephone_number": "580-234-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "5400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.