Active NPI
Mark A. George, FNP
- Family Nurse Practitioner
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0515447
- Practice address
- 107 Hamilton CT
Easley, SC 29642-3066 - Phone
- (864) 477-0204
- NPI assigned
- Jun 9, 2015
- Last updated
- Feb 15, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0515447 | SC | Primary |
Addresses
Primary practice location
107 Hamilton CT
Easley, SC 29642-3066
Mailing address
107 Hamilton CT
Easley, SC 29642-3066
Phone (864) 477-0204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19611 | SC | MD | Psychiatry Physician |
| F0515447 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (SC) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care (SC) PC | Current | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208
3516 Highway 153
Greenville, SC 29611
Phone (864) 729-6626
805 W Wade Hampton Blvd
Ste C
Greer, SC 29650
Phone (864) 655-6615
Organizations & group practices 3
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.
-
dba CenterWell Senior Primary Care -Anderson
- Internal Medicine Physician
- Anderson, SC
- NPI 1710341144
-
dba Peace Medical Center
- Internal Medicine Physician
- Greenville, SC
- NPI 1275561813
-
dba CenterWell Senior Primary Care - Powdersville
- Internal Medicine Physician
- Greenville, SC
- NPI 1841644580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1891176491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HAMILTON CT",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423066",
"telephone_number": "864-477-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 HAMILTON CT",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423066",
"telephone_number": "864-477-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "MARK",
"middle_name": "A.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "F0515447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.