Provider Demographics
NPI:1992771455
Name:JAMES, GEORGE C (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:C
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3905 NATIONAL DR
Mailing Address - Street 2:STE 250
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-6104
Mailing Address - Country:US
Mailing Address - Phone:301-421-4233
Mailing Address - Fax:301-421-9551
Practice Address - Street 1:3905 NATIONAL DR
Practice Address - Street 2:STE 250
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-6104
Practice Address - Country:US
Practice Address - Phone:301-421-4233
Practice Address - Fax:301-421-9551
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD400752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA721-0001OtherBC/BS FEDERAL
MDOJ39OtherBLUE CROSS/BLUE SHIELD
MDOJ39GC52120808OtherBLUECROSS MARYLAND
MD916531OtherMAMSI
MD916531OtherUNITED HEALTH CARE
DCA7210001OtherBLUECROSS DC METRO
MD068911400Medicaid
MD916531OtherMAMSI
MD532624Medicare PIN