Individual provider Active NPI

George B Sonnier, M.D.

  • Dermatology Physician
  • Louisville, KY
National Provider Identifier
1861495046
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
32539 Issued in KY
Practice address
310 E Broadway
Ste 200
Louisville, KY 40202-1745
Phone
(502) 585-5249
Fax
(502) 585-5251
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 32539 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 32539 KY
Dermatology Physician 207N00000X 32539 KY Primary

Addresses

Primary practice location

310 E Broadway
Ste 200
Louisville, KY 40202-1745

Mailing address

310 E Broadway Ste 200
Louisville, KY 40202-1745
Phone (502) 585-5249

Other practice location 1

839 S 2nd St
Louisville, KY 40203-2209
Phone (502) 456-6217

Other identifiers 14

IdentifierTypeStateIssuer
000000247638OtherKYANTHEM
480193OtherKYHEALTHLINK
096605OtherKYHEALTH ALLIANCE
690009345OtherKYMEDICARE RR
50115684OtherKYPASSPORT
01896394OtherKYANTHEM MA
300047661100OtherKYHUMANA CARESOURCE
601519OtherKYWELLCARE MA
03-00228OtherKYUNITED HEALTHCARE
200091750AMedicaidIN
4046475MedicaidTN
64984495MedicaidKY
114358OtherKYAETNA BETTER HEALTH
3103050MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050207000611 KY Practitioner - Dermatology 0547211674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians
Dr William M Parsley MD PSCGroup PAC ID 1951378850, 6 clinicians

Practice addresses (Care Compare)

2300 Hurstbourne Village Dr
Suite 900
Louisville, KY 40299-1851
Phone (217) 729-7868

310 E Broadway
Suite 200
Louisville, KY 40202-1745
Phone (502) 585-5249

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions585
Removal or shaving of skin growth1-10
Skin biopsy130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 16, 2023 Accepting new patients
Dermatopathology Alliance of Kentucky PLLC Dermatology CurrentSince May 1, 2002 Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 16, 2023 Accepting new patients
Dr William M Parsley MD PSC Dermatology CurrentSince Aug 1, 1996 Accepting new patients
Have a Heart Foundation Inc PastSince Jan 1, 2019 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

114 Manor Ave
Bardstown, KY 40004
Phone (217) 729-7868

2300 Hurstbourne Village Dr
Ste 900
Louisville, KY 40299
Phone (217) 729-7868

310 E Broadway
Ste 200
Louisville, KY 40202
Phone (502) 585-5249

310 E Broadway
Ste 100
Louisville, KY 40202
Phone (502) 245-0002

839 S 2nd St
Louisville, KY 40203
Phone (502) 456-6217

1941 Bishop Ln
Ste 1018
Louisville, KY 40218

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1861495046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-585-5249",
            "fax_number": "502-585-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-585-5249",
            "fax_number": "502-585-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032209",
            "country_code": "US",
            "telephone_number": "502-456-6217",
            "fax_number": "502-456-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNIER",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "KY",
            "license": "32539",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "32539",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "32539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000247638",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "480193",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "096605",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "690009345",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50115684",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MA",
            "identifier": "01896394",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CARESOURCE",
            "identifier": "300047661100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MA",
            "identifier": "601519",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "03-00228",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200091750A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4046475",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64984495",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "114358",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103050",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.