Tina McGeorge, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6972 Issued in KY

Practice address

828 South Main Street
London, KY 40741

Phone

(606) 878-7251

Fax

(606) 878-1285

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jerry G. Mayes, PSC

  • General Practice Dentistry
  • London, KY
  • NPI 1124158894
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1992835664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SOUTH MAIN STREET",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-878-7251",
            "fax_number": "606-878-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SOUTH MAIN STREET",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-878-7251",
            "fax_number": "606-878-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEORGE",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6972",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60069721",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Spencer McCormick, RPH
• April Louise McDonald, APRN
• Carolyn F McFarland, APRN, FNP, PMHNP-BC
• Dorothy Suzanne McGehee, M.D.
• Sarah Breanne McGeorge
• Peter Philip McKeown, MD
• Stephanie L McNamara, APRN,PMHNP-BC
• Whitney McPhetridge
• Alexis Paige McWhorter, APRN
• Makenzie L. McWhorter, O.D.

• General Practice Dentistry in London, KY
• Providers in London, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.