KEVIN BRUCE GEORGE PA
NPI 1104808674
Physician Assistant in North Wilkesboro, NC

Active since November 18, 2005PECOS Enrolled
1917 W PARK DR, NORTH WILKESBORO, NC 28659(336) 903-7845(336) 903-7841 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Bruce George Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN BRUCE GEORGE PA (NPI 1104808674) is an individual physician assistant in North Wilkesboro, North Carolina, licensed in North Carolina (103761) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104808674
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN BRUCE GEORGECredential: PA
Location Address1917 W PARK DRNorth Wilkesboro, NC 28659-3585
Mailing Address1917 W Park DrNorth Wilkesboro, NC 28659-3585 · (336) 903-7845 · Fax (336) 903-7841
Fax(336) 903-7841
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateOctober 26, 2016
NPI 1104808674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103761
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 010847 (NY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA052674 (PA)
1917 W PARK DR, North Wilkesboro, NC 28659

Other Identifiers 1

Medicare UPIN117326JT3PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Bruce George Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28659 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1917 W PARK DR, ORTHOPAEDIC SPECIALISTS OF WILKES
NORTH WILKESBORO, NC 28659
Orthopaedic Surgery
1917 W PARK DR, ORTHOPAEDIC SPECIALISTS OF WILKES
NORTH WILKESBORO, NC 28659
Specialist/Technologist (Athletic Trainer)
1917 W PARK DR
NORTH WILKESBORO, NC 28659
Physician Assistant
1917 W PARK DR
NORTH WILKESBORO, NC 28659
Specialist/Technologist (Athletic Trainer)
1917 W PARK DR
NORTH WILKESBORO, NC 28659
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1917 W PARK DR
NORTH WILKESBORO, NC 28659
Physician Assistant
1917 W PARK DR
NORTH WILKESBORO, NC 28659
Physician Assistant
1917 W PARK DR
NORTH WILKESBORO, NC 28659

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104808674, enumerated as an "individual" on November 18, 2005.

The provider is located at 1917 W PARK DR NORTH WILKESBORO, NC 28659 and the phone number is (336) 903-7845.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.