Shanita Dominique George, CRNA - Medicare Nurse Anesthetist, Certified Registered in Concord, NC

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Shanita Dominique George, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. Her current practice location is 920 Church Street N., Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-3000.

Shanita Dominique George is licensed to practice in North Carolina (license number 7200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992494793.

Contact Information

Shanita Dominique George, CRNA
920 Church Street N.,
Concord, NC 28025
(704) 403-3000
Not Available

Map and Direction




Provider's Profile

Full NameShanita Dominique George
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location920 Church Street N., Concord, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992494793
  • Provider Enumeration Date: 05/08/2023
  • Last Update Date: 10/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456711936
  • Enrollment ID: I20230714003338

Medical Identifiers

Medical identifiers for Shanita Dominique George such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992494793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 293121 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 144233 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 7200 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shanita Dominique George allows following entities to bill medicare on her behalf.
Entity NameNovant Health Thomasville Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160205
PECOS PAC ID: 5890605224
Enrollment ID: O20031222000916
Entity NameMedical Park Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003867516
PECOS PAC ID: 4880595958
Enrollment ID: O20040120000968
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNovant Health Rowan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508931544
PECOS PAC ID: 3375452519
Enrollment ID: O20040422001655
Entity NameNovant Health Matthews Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184782419
PECOS PAC ID: 6406845247
Enrollment ID: O20051114000445
Entity NamePresbyterian Sameday Surgery Center At Ballantyne Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1215061049
PECOS PAC ID: 4587759949
Enrollment ID: O20070928000739
Entity NamePresbyterian Sameday Surgery Center At Huntersville Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1063641801
PECOS PAC ID: 8426197971
Enrollment ID: O20100521000450
Entity NameBrunswick Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669725198
PECOS PAC ID: 9335150895
Enrollment ID: O20130903000403
Entity NameChs Anesthesia Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346649415
PECOS PAC ID: 5799007324
Enrollment ID: O20141209001856
Entity NameNovant Health Kernersville Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1750892659
PECOS PAC ID: 3870858525
Enrollment ID: O20180530000007
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540
Entity NameNovant Health Clemmons Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1528521887
PECOS PAC ID: 6103154778
Enrollment ID: O20190820003091
Entity NameNovant Health Ballantyne Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760190607
PECOS PAC ID: 4880065143
Enrollment ID: O20230518003163

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanita Dominique George is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanita Dominique George, CRNA
1221 Blu Steele Way,
Pineville, NC 28134-8336

Ph: (919) 464-1870		Shanita Dominique George, CRNA
920 Church Street N.,
Concord, NC 28025

Ph: (704) 403-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-355-2000    
Justice Edmond,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-403-3000    
Terri Crockett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    
Mary Jean Detchemendy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    Fax: 704-783-2527
Mr. Michael T Roberts, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-1622    Fax: 704-783-2527
Janet Patty, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    
Virginia Norris Rogers, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.