HEATHER M GEORGE (PA-C) – Surgical Physician Assistant, NPI 1093068017

HEATHER M GEORGE (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6124860-1206 (UT). The NPI Number for HEATHER M GEORGE (PA-C) is 1093068017

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER M GEORGE (PA-C)
NPI
1093068017
Phone
(801) 587-6336
Address
127 S. 500 E
Enumeration Date
16 October 2012
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015818000
Graduation Year
2012 (14 years ago)
PAC ID
2567608755
Group Practice PAC ID
9739403569
Professional Enrollment ID
I20130412000435

Contacts

Secure Messaging
hgeorge41689@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for HEATHER M GEORGE (PA-C)

  • 127 S. 500 E

    SUITE 600

    SALT LAKE CITY, UT 841021971

    Phone: (801) 587-6336

    Fax: (801) 715-8228

    Type: Mailing

  • 30 N 1900 E

    1R27

    SALT LAKE CITY, UT 841322119

    Phone: (801) 581-4695

    Fax: (801) 585-5546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-04-12

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
I20130412000435IPhysician AssistantUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7974$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 84102)

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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: 9739403569View full group profile
NameSpecialtyState
Family PracticeUT
Internal MedicineUT
P O D I A T R YUT
Physician AssistantUT
Family PracticeUT
Family PracticeMT
Family PracticeUT
Family PracticeUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I use this page to confirm HEATHER M GEORGE (PA-C)'s NPI?
Yes. HEATHER M GEORGE (PA-C) is listed with NPI 1093068017 in the public NPI dataset.
Does CMS list HEATHER M GEORGE (PA-C) as active?
Yes — HEATHER M GEORGE (PA-C) is active in the NPI listing used on this page.
What is HEATHER M GEORGE (PA-C)'s primary classification?
Surgical Physician Assistant is the headline specialty for HEATHER M GEORGE (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect HEATHER M GEORGE (PA-C) on a map?
Expect Salt Lake City, Utah as a primary anchor for HEATHER M GEORGE (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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