NPIMap

Individual provider Active NPI

Jessie George, M.D.

  • Nephrology Physician
  • Plano, TX
National Provider Identifier
1922021179
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1110 Issued in TX
Practice address
4708 Alliance Blvd.
Suite 600
Plano, TX 75093-5368
Phone
(469) 467-0011
Fax
(469) 467-4923
NPI assigned
Jul 26, 2006
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M1110 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd.
Suite 600
Plano, TX 75093-5368

Mailing address

4708 Alliance Blvd.
Suite 600
Plano, TX 75093-5368
Phone (469) 467-0011

Other practice location 1

5236 W University Dr Ste 4200
McKinney, TX 75071-8127
Phone (214) 544-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628001432 TX Practitioner - NephrologyPractitioner - Internal Medicine 8527004787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7150 N President George Bush Hwy
Suite 205
Garland, TX 75044-2210
Phone (972) 276-0139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as individual
Quality
90.08
Promoting interoperability
98
Improvement activities
40
Cost
69.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of North Texas, P.L.L.C. Nephrology CurrentSince Dec 15, 2009 Accepting new patients
Advanced Kidney Care of North Texas, P.L.L.C. Nephrology CurrentSince Dec 15, 2009 Accepting new patients
NTKC Management, LLC Nephrology Past Accepting new patients

Locations

7150 N President George Bush Hwy
Ste 205
Garland, TX 75044
Phone (972) 276-0139

5236 W University Dr
Ste 4200
McKinney, TX 75071
Phone (214) 544-9590

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1922021179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD.",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD.",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5236 W University Dr Ste 4200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750718127",
            "country_code": "US",
            "telephone_number": "214-544-9590",
            "fax_number": "214-544-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.