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DOUGLAS GEORGE
NPI 1902342199
General Practice in Jacksonville, FL

Active since January 11, 2017PECOS Enrolled
2080 CHILD STREET NAVAL HOSPITAL JACKSONVILLE, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, Jan 11, 2017 (2 updates tracked since 2017).

About Douglas George NPPES

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

DOUGLAS GEORGE (NPI 1902342199) is an individual general practice provider in Jacksonville, Florida, licensed in Virginia (0101265290) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902342199
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDOUGLAS GEORGE
Location Address2080 CHILD STREET NAVAL HOSPITAL JACKSONVILLEJacksonville, FL 32214-0001
Mailing Address2080 Child Street Naval Hospital JacksonvilleJacksonville, FL 32214-0001 · (904) 542-7300
Phone(904) 542-7300
Sole ProprietorNo
Enumeration DateJanuary 11, 2017
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1902342199 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 VA · 0101265290
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2080 CHILD STREET NAVAL HOSPITAL JACKSONVILLE, Jacksonville, FL 32214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas George 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.

Other Providers at the Same Location NPPES

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

DR. ELLIE CHIWON KHO MENTLER MD
Surgery
2080 CHILD STREET NAVAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32214
Duval County (904) 542-7600

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 Douglas George's NPI number?

The NPI number for Douglas George is 1902342199. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Douglas George located?

Douglas George practices at 2080 Child Street Naval Hospital Jacksonville, Jacksonville, FL 32214. The listed phone number is (904) 542-7300.

What is Douglas George's specialty?

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

Is Douglas George enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas George was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.