Individual provider Active NPI

Joanna George

  • Physician Assistant
  • Enid, OK
National Provider Identifier
1831957331
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5400 Issued in OK
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.

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 212 clinicians

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, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5400OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Oct 1, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 1, 2024 Accepting new patients
Premier Medical Associates PC CurrentSince May 20, 2024 Accepting new patients
Premier Medical Associates, PC CurrentSince May 20, 2024 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)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5400 OK Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.