Individual provider Active NPI

George K McBride, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1962061473
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25979 Issued in TN
Practice address
1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539
Phone
(423) 473-2633
NPI assigned
Jun 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25979 TN Primary

Addresses

Primary practice location

1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539

Mailing address

820 Old Parksville Rd NE
Cleveland, TN 37323-5010
Phone (423) 310-1283

Other names 1

  • George McBride Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920001026 TN Practitioner - Nurse Practitioner 7719217504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Psychiatric Center, PCGroup PAC ID 5799717526, 4 clinicians

Practice addresses (Care Compare)

1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539
Phone (423) 473-2633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25979TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Stetson, MD, PLLC CurrentSince Aug 12, 2019 Accepting new patients
Cleveland Psychiatric Center, PC CurrentSince Aug 12, 2019 Accepting new patients

Locations

1723 Mount Vernon Dr NW
Cleveland, TN 37311
Phone (423) 473-2633

Organizations & group practices 2

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": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1962061473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OLD PARKSVILLE RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373235010",
            "telephone_number": "423-310-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 MOUNT VERNON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113539",
            "telephone_number": "423-473-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "GEORGE",
        "middle_name": "K",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "MCBRIDE",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.