MR. RONNY GEORGE (FNP-C) – Family Nurse Practitioner, NPI 1114634656

MR. RONNY GEORGE (FNP-C) is a healthcare provider. based in Pleasant grove, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials FNP-C. They hold a License No. 1097694 (TX). The NPI Number for MR. RONNY GEORGE (FNP-C) is 1114634656

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. RONNY GEORGE (FNP-C)
NPI
1114634656
Phone
(800) 640-3451
Address
PO BOX 1200
Enumeration Date
3 November 2022
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035674692
Graduation Year
2022 (4 years ago)
PAC ID
5193197762
Group Practice PAC ID
7517385388
Professional Enrollment ID
I20230207003553
Address ID
TX751032418CA301XX243X501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for MR. RONNY GEORGE (FNP-C)

  • PO BOX 1200

    PLEASANT GROVE, UT 840621200

    Phone: (800) 640-3451

    Type: Mailing

  • 7115 BLANCO RD

    SAN ANTONIO, TX 782165047

    Phone: (800) 640-3451

    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: 2023-02-07

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
I20230207003553IFamily PracticeTXTBD

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 84062)

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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: 7517385388View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantNM
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

What is MR. RONNY GEORGE (FNP-C)'s NPI number?
MR. RONNY GEORGE (FNP-C)'s NPI is 1114634656 — the number used across U.S. healthcare to identify this provider.
Is MR. RONNY GEORGE (FNP-C) still an active registrant?
MR. RONNY GEORGE (FNP-C) carries an active NPI according to the public dataset.
What area of care is associated with MR. RONNY GEORGE (FNP-C)?
MR. RONNY GEORGE (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. RONNY GEORGE (FNP-C) associated with Pleasant Grove?
Public fields place MR. RONNY GEORGE (FNP-C) around Pleasant Grove, Utah. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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