JIMMY DAVID GEORGE (PA-C) – Surgical Physician Assistant, NPI 1013474337

JIMMY DAVID GEORGE (PA-C) is a healthcare provider. based in Pearland, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA12487 (TX). The NPI Number for JIMMY DAVID GEORGE (PA-C) is 1013474337

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JIMMY DAVID GEORGE (PA-C)
NPI
1013474337
Phone
(713) 442-4942
Address
11511 SHADOW CREEK PKWY
Enumeration Date
22 February 2019
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134420000
Graduation Year
2018 (8 years ago)
PAC ID
0648510768
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20190327000837
Address ID
TX770251669HO2727XBLVD400

Contacts

Secure Messaging
jgeorge27824@direct.kelsey-seybold.com
FHIR Endpoint
https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for JIMMY DAVID GEORGE (PA-C)

  • Shadow Creek Parkway, Pearland, Brazoria County, Texas, 77047-4593, United States

    PEARLAND, TX 775847298

    Phone: (713) 442-4942

    Fax: (713) 442-0426

    Type: Mailing

  • Spencer R. Berthelsen, M.D., Main Campus, 2727, West Holcombe Boulevard, Houston, Harris County, Texas, 77025, United States

    HOUSTON, TX 770251669

    Phone: (713) 442-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: ABIOMED ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190327000837IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77584)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
Internal MedicineTX
D E R M A T O L O G YTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX
Family PracticeTX
N E U R O L O G YTX
Hospice/Palliative Care, Family Practice, Geriatric MedicineTX

Reviews

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Frequently asked questions

Is JIMMY DAVID GEORGE (PA-C) listed with a National Provider Identifier?
Yes — JIMMY DAVID GEORGE (PA-C) has NPI 1013474337 on file in the registry.
Would JIMMY DAVID GEORGE (PA-C) appear as active to a payer?
You can treat JIMMY DAVID GEORGE (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JIMMY DAVID GEORGE (PA-C)?
JIMMY DAVID GEORGE (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JIMMY DAVID GEORGE (PA-C) located near Pearland?
JIMMY DAVID GEORGE (PA-C) currently maps to Pearland, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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