Provider Demographics
NPI:1457318958
Name:VOLPITTO, GEORGE DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:DAVID
Last Name:VOLPITTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3245
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-0090
Mailing Address - Country:US
Mailing Address - Phone:706-396-0613
Mailing Address - Fax:706-854-2149
Practice Address - Street 1:4350 TOWNE CENTRE DR
Practice Address - Street 2:SUITE 2000B
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3301
Practice Address - Country:US
Practice Address - Phone:706-396-0613
Practice Address - Fax:706-854-2149
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018123207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4220153OtherBCBS OF TN
SC907772Medicaid
NCP01076665OtherRR MEDICARE
GAP00928788OtherRR MEDICARE
GA000139345FMedicaid
NC2076907Medicare PIN
GAP00928788OtherRR MEDICARE
GAD99629Medicare UPIN
GA000139345FMedicaid