Active NPI
Andrew M Georgeson, DO
- Surgery Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS14725
- Practice address
- 4700 N Congress Ave Ste 301
West Palm Beach, FL 33407-3292 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- NPI assigned
- Aug 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | AG009192 | MI | |
| Surgery Physician | 208600000X | OS14725 | FL | Primary |
Addresses
Primary practice location
4700 N Congress Ave Ste 301
West Palm Beach, FL 33407-3292
Mailing address
3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871
Phone (813) 961-1331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3003 S Florida Ave
Suite 101
Lakeland, FL 33803-4050
Phone (800) 991-6117
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 734 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG009192 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialty Group LLC | Surgery | Current | Accepting new patients |
| Wazni, PLLC | Surgery | Current | Accepting new patients |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
| Carolina Mountain Internal Medicine | Past | Accepting new patients | |
| Robert L Marchese MD Diseases of the Lung PLLC | Past | Accepting new patients |
Locations
18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177
3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990
4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918
295 NW Peacock Blvd
Port St Lucie, FL 34986
3810 Northdale Blvd
Ste 260
Tampa, FL 33624
3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784
3657 Madaca Ln
Tampa, FL 33618
3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201
4700 N Congress Ave
Ste 301
West Palm Beach, FL 33407
Phone (561) 594-1840
16553 S US Highway 301
Wimauma, FL 33598
16151 19 Mile Rd
Ste 301
Clinton Twp, MI 48038
Phone (586) 203-1790
25810 Kelly Rd
Ste 3
Roseville, MI 48066
Phone (586) 541-8419
Networks
- Freedom Health HMO Network
Interoperability endpoints
- andrew.georgeson@uvvc.eclinicaldirectplus.com
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.
-
- Vascular Surgery Physician
- Tampa, FL
- NPI 1114353026
-
- Surgery Physician
- Clinton TWP, MI
- NPI 1215122437
-
- Internal Medicine Physician
- Hendersonville, NC
- NPI 1366473225
-
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
-
- Pulmonary Disease Physician
- Roseville, MI
- NPI 1578534061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1922017938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 NORTHDALE BLVD STE 150",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241871",
"telephone_number": "813-961-1331",
"fax_number": "888-850-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N CONGRESS AVE STE 301",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073292",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGESON",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "AG009192",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS14725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.