CAROLYN SUE GEORGE MD
NPI 1740447051
General Practice in Sunrise, FL

Active since May 22, 2008Opted out of Medicare · through Oct 1, 2026
12651 W SUNRISE BLVD STE 103, SUNRISE, FL 33323(954) 361-5202(954) 448-7741 Get Directions Write a Review

NPPES record last updated: September 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Sue George Md NPPES

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

CAROLYN SUE GEORGE MD (NPI 1740447051) is an individual general practice provider in Sunrise, Florida, licensed in Florida (ME91928) and active in the NPI registry since May 2008. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer and maintains a secondary practice location in Boca Raton.

NPPES Registry Identity

NPI1740447051
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameCAROLYN SUE GEORGECredential: MD
Location Address12651 W SUNRISE BLVD STE 103Sunrise, FL 33323-0906
Mailing Address12651 W Sunrise Blvd Ste 103Sunrise, FL 33323-0906 · (954) 361-5202 · Fax (954) 488-7741
Fax(954) 448-7741
Sole ProprietorYes
Enumeration DateMay 22, 2008
Last NPPES UpdateSeptember 1, 2019
NPI 1740447051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME91928
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME91928 (FL)
12651 W SUNRISE BLVD STE 103, Sunrise, FL 33323

Secondary Practice Location 1

Location 17100 W Camino Real, Suite 207Boca Raton, FL 33433-5510 · Phone (561) 391-2770 · Fax (561) 391-2930

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Carolyn Sue George Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
12651 W SUNRISE BLVD STE 103
SUNRISE, FL 33323

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 Carolyn George's NPI number?

The NPI number for Carolyn George is 1740447051. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Carolyn George located?

Carolyn George practices at 12651 W Sunrise Blvd Ste 103, Sunrise, FL 33323. The listed phone number is (954) 361-5202.

What is Carolyn George's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carolyn George enrolled in Medicare?

No. Carolyn George has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carolyn George was last updated on September 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.