MR. GEORGE JOSEPH DEVITA PA-C
NPI 1104803964
Physician Assistant - Medical in Fort Drum, NY
About Mr. George Joseph Devita Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GEORGE JOSEPH DEVITA PA-C (NPI 1104803964) is an individual medical provider in Fort Drum, New York and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. George Joseph Devita Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DRUM, NY 13602
FORT DRUM, NY 13602
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is George Devita's NPI number?
The NPI number for George Devita is 1104803964. It was assigned to this individual provider in the NPPES registry on December 22, 2005.
Where is George Devita located?
George Devita practices at 11050 Mount Belvedere Blvd Usa Meddac Attn: Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.
What is George Devita's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is George Devita enrolled in Medicare?
Yes. George Devita is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for George Devita was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. George Joseph Devita, PA-C · NPI 1104803964
Medical physician in Fort Drum, New York. Individual provider, active in the CMS NPPES registry since December 22, 2005.
## Identity
- **NPI:** 1104803964 (Entity type: Individual)
- **Enumerated:** December 22, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS, Fort Drum, NY 13602-5438
- **Phone:** (315) 772-4025 · **Fax:** (315) 772-9498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Nebraska College Of Medicine, class of 2000
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104803964) · Data from the CMS NPPES public registry.