Active NPI
Justin George
- Pharmacist
- Decatur, GA
National Provider Identifier
1891158382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHI027539
- Practice address
- 2139 Lawrenceville Hwy
Decatur, GA 30033-4321 - Phone
- (404) 600-8172
- Fax
- (404) 941-7397
- NPI assigned
- Apr 1, 2016
- Last updated
- Oct 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHI027539 | GA | Primary |
Addresses
Primary practice location
2139 Lawrenceville Hwy
Decatur, GA 30033-4321
Mailing address
1179 Ridge Hollow LN
Lawrenceville, GA 30043-9103
Phone (404) 219-9031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHI027539 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor RX LLC | Current | Accepting new patients |
Locations
2139 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 600-8172
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1891158382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 RIDGE HOLLOW LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300439103",
"telephone_number": "404-219-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 LAWRENCEVILLE HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334321",
"telephone_number": "404-600-8172",
"fax_number": "404-941-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "PHI027539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.