Georgina Hines, FNP-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

271316 Issued in AZ

Practice address

2500 S Power Rd
Mesa, AZ 85209-6686

Phone

(480) 478-0643

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Feliz Family Care PLLCGroup PAC ID 3274838586, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Feliz Family Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1538533799

  AZ, Family

  Medicare reassignment Care Compare group NPD
• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Tempe, AZ
  • NPI 1821288606

  AZ, Family

  Medicare reassignment NPD
• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1821050907

  Family

  NPD
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1972259448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 W SAND DUNE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096686",
            "telephone_number": "480-478-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "GEORGINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "271316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georginahines@hospicehomeaz.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2500 S Power Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852096686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Hinchman
• Mark Raymond Hinde
• Adrian Leigh Hindes, MS CCC SLP
• Yousef Mohammed Hindi, MD
• Amanda Marie Hineline
• Lisa Marie Hines, MS,CCC/SLP
• Stephanie Marie Hines, PHARMD
• Katelin Ellen Hink, SLPA
• John Carthon Hinson, MA LPC
• Kamryn Hinson

• All providers in Mesa, AZ
• Adult Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.

Verify at the official NPI Registry.