MR. MARK C GEORGE PA-C - NPI 1679536510 - Physician Assistant in Fort Myers, FL

Q: What is Mark George's NPI number?

The NPI number for Mark George is 1679536510. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Mark George's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark George was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mr. Mark C George Pa-c NPPES

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

MR. MARK C GEORGE PA-C (NPI 1679536510) is an individual medical provider in Fort Myers, Florida, licensed in Alabama (PA-620) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1679536510

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MARK C GEORGECredential: PA-C

Location Address15620 NEW HAMPSHIRE CTFort Myers, FL 33908-4168

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612

Phone(239) 768-2057

Fax(239) 768-2133

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateApril 11, 2006

Last NPPES UpdateOctober 26, 2020

NPPES CertifiedOctober 26, 2020

✔ NPI 1679536510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AL · PA-620

15620 NEW HAMPSHIRE CT, Fort Myers, FL 33908

Open in Google Maps ↗

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. Mark C George 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.

PECOS PAC ID5698716793

PECOS Enrollment IDI20050519000092

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.

Other Providers at the Same Location NPPES 5

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

DR. JEFFREY N MARTIN D.O.

Dermatology