Active NPI
Elizabeth Ann George
- Psychiatry Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6655
- Practice address
- 4509 Integris Pkwy Ste 300
Edmond, OK 73034-8696 - Phone
- (405) 657-3704
- Fax
- (405) 657-3892
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6655 | OK | Primary |
Addresses
Primary practice location
4509 Integris Pkwy Ste 300
Edmond, OK 73034-8696
Mailing address
3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 657-3704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Psychiatry
- Education
- Oklahoma State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Renaissance Blvd
Edmond, OK 73013-3022
Phone (405) 844-4300
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589
5100 N Brookline Ave
900 Integris Mental HLTH Brookline
Oklahoma City, OK 73112-3630
Phone (405) 604-3170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6655 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients |
Locations
4509 Integris Pkwy
Ste 300
Edmond, OK 73034
Phone (405) 657-3704
2557 Old Timbers Dr
Edmond, OK 73034
Phone (405) 669-2600
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
Interoperability endpoints
- egeorge316798@direct.integrisok.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1962990937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 QUAIL SPRINGS PKWY FL 5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342640",
"telephone_number": "405-657-3704",
"fax_number": "405-657-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 INTEGRIS PKWY STE 300",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348696",
"telephone_number": "405-657-3704",
"fax_number": "405-657-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "6655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.