Individual Healthcare Provider
Thomas George, DNP, CRNP, FNP-C
Provider's NPPES record last updated: June 12, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1417338930
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Shelley, Idaho
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:45 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Registered Nurse
Case Management
Nursing Service Providers
Definition to come...
Taxonomy code 163WC0400X
Provider-Reported License Information
- Nurse Practitioner (Maryland)
- R216085
- Registered Nurse (Maryland)
- R216085
Practice Locations
Practice Location
555 W Oak St Ste 2
Shelley, Idaho 83274-1161
Phone: (240) 308-1771
Additional Practice Location
2034 La Rain Ct
Idaho Falls, Idaho 83402-4853
Phone: (240) 308-1771
Additional Practice Location
106 Cemetery Rd
Accident, Maryland 21520-2097
Phone: (301) 746-8627
Additional Practice Location
311 N 4th St Ste 1
Oakland, Maryland 21550-1371
Phone: (301) 334-7855
Record Information
- Enumeration Date
- June 10, 2015
- Provider's NPPES Record Last Updated
- June 12, 2024
- Certification Date
- June 12, 2024
- NPISignal NPPES Dataset
- August 2026
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