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DR. EDWIN BLACK GEORGE MD PHD
NPI 1255378774
Psychiatry & Neurology - Neurology in Detroit, MI

Active since June 01, 2006PECOS Enrolled
4201 ST ANTOINE STE 8A & 8B, UNIVERSITY HEALTH CENTER, DETROIT, MI 48201(313) 745-4275(313) 745-4468 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edwin Black George Md Phd NPPES

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

DR. EDWIN BLACK GEORGE MD PHD (NPI 1255378774) is an individual neurology provider in Detroit, Michigan, licensed in Michigan (4301068940) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255378774
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. EDWIN BLACK GEORGECredential: MD PHD
Location Address4201 ST ANTOINE STE 8A & 8B, UNIVERSITY HEALTH CENTERDetroit, MI 48201-2153
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (313) 745-4275 · Fax (313) 745-4468
Phone(313) 745-4275
Fax(313) 745-4468
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 3, 2016
✔ NPI 1255378774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 4301068940
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 4301068940 (MI)
4201 ST ANTOINE STE 8A & 8B, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE94063MI
Medicare PIN0P30630232MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Black George Md Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Edwin George reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physician Group
0.1 mi
Advanced Practice Midwife
4201 SAINT ANTOINE ST, SUITE 4E&F
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1437198231 (313) 745-4380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
1 supplier13 claims364 services$168.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Edwin George's NPI number?

The NPI number for Edwin George is 1255378774. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Edwin George located?

Edwin George practices at 4201 St Antoine Ste 8A & 8B University Health Center, Detroit, MI 48201. The listed phone number is (313) 745-4275.

What is Edwin George's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Edwin George enrolled in Medicare?

Yes. Edwin George is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edwin George's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin George reassigns Medicare benefits to University Physician Group (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin George's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edwin George was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.