George M. Wolverton M.D. INC.
Family Medicine in Jeffersonville, IN. Organization (NPI-2).
Details
- NPI
- 1962421990
- Entity type
- Organization (NPI-2)
- Legal business name
- George M. Wolverton M.D. INC.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Apr 28, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 50000563 | IN | Yes |
Other names
- Evergreen Medical Centre (Doing Business As)
Practice location
300 Spring St Ste 3bJeffersonville, IN 47130-3498
Phone 812-282-4309 · Fax 812-283-8299
Mailing address
8009 Weyanoke CtProspect, KY 40059-9426
Phone 502-292-0428
Authorized official
Steven Mitchell Johnson
Medical Doctor
8122824309
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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