Active NPI
Katie McNeil
- Medical Physician Assistant
- Savannah, GA
National Provider Identifier
1003791765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 11705 Mercy Blvd
Savannah, GA 31419-1711 - Phone
- (912) 819-4100
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | GA | Primary |
Addresses
Primary practice location
11705 Mercy Blvd
Savannah, GA 31419-1711
Mailing address
709 Mall Blvd
Savannah, GA 31406-4881
Other practice location 1
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1003791765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 MALL BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 MERCY BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191711",
"telephone_number": "912-819-4100"
}
],
"practiceLocations": [
{
"address_1": "5353 Reynolds St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056015",
"country_code": "US",
"telephone_number": "912-819-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEIL",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.