NPIMap

Individual provider Active NPI

Edith Utley, PA

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1003951658
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004777 Issued in GA
Practice address
340 Eisenhower Dr
Savannah, GA 31406-1600
Phone
(912) 354-6614
NPI assigned
Feb 21, 2007
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004777 GA Primary

Addresses

Primary practice location

340 Eisenhower Dr
Savannah, GA 31406-1600

Mailing address

PO Box 14417
Savannah, GA 31416-1417

Other practice location 1

225 Candler Dr Ste 100
Savannah, GA 31405-6093
Phone (912) 352-1700

Other practice location 2

225 Candler Dr Ste 201
Savannah, GA 31405-6092
Phone (912) 819-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070601000370 GA Practitioner - Physician Assistant 8527166347 Reassigns benefits to 2 organizations
I20160818001365 SC Practitioner - Physician Assistant 8527166347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SJC Thoracic Services, LLCGroup PAC ID 6305214644, 3 clinicians

Practice addresses (Care Compare)

12 B Arley Way
Suite 101
Bluffton, SC 29910-4883
Phone (912) 819-5757

131 Silverwood CT
Suite 100
Rincon, GA 31326-5131
Phone (912) 826-3927

225 Candler Dr
Suite 201
Savannah, GA 31405-6023

225 Candler Dr
Suite 201
Savannah, GA 31405-6092
Phone (912) 819-5757

300 New River Pkwy
Suite 26
Hardeeville, SC 29927-4546
Phone (912) 819-5757

340 Hodgson CT
Savannah, GA 31406-1523
Phone (912) 629-2290

601 E General Stewart Way
Hinesville, GA 31313-2627
Phone (912) 629-2290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.9
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Lung & Critical Care Specialists CurrentSince Mar 16, 2006 Accepting new patients
Southeast Lung & Critical Care Specialists P C CurrentSince Mar 16, 2006 Accepting new patients
Southeast Lung & Critical Care Specialists, P.C. CurrentSince May 28, 2016 Accepting new patients
Southeast Lung & Critical Care Specialists, P.C. Past Accepting new patients
Southeast Lung & Critical Care Specialists Past Accepting new patients
Southeast Lung & Critical Care Specialists, PC Physician Assistant Past Accepting new patients
Southeast Lung & Critical Care Specialists, PC Past Accepting new patients

Locations

200 Doctors Dr
Ste O
Douglas, GA 31533
Phone (912) 383-5655

601 E General Stewart Way
Hinesville, GA 31313
Phone (912) 355-4557

370 Peachtree St
Jesup, GA 31545
Phone (912) 348-9495

131 Silverwood Ct
Ste 100
Rincon, GA 31326
Phone (912) 826-3927

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

225 Candler Dr
Ste 201
Savannah, GA 31405
Phone (912) 692-2000

225 Candler Dr
Ste 301
Savannah, GA 31405
Phone (912) 354-8014

340 Hodgson Ct
Savannah, GA 31406
Phone (843) 682-3583

340 Hodgson Ct
Ste 2
Savannah, GA 31406
Phone (912) 590-5797

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

5353 Reynolds St
#4S
Savannah, GA 31405
Phone (912) 819-7800

800 E 68th St
Savannah, GA 31405
Phone 9122329700 ext. 103

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

209C Mims Rd
Sylvania, GA 30467
Phone (912) 564-5977

12 Arley Way
Ste 101
Bluffton, SC 29910
Phone (843) 706-9940

23 Main St
Ste 202
Hilton Head Island, SC 29926
Phone (843) 682-3583

Interoperability endpoints

  • Direct secure messaging: edith.utley.1@23844.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1003951658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14417",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-354-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Candler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056093",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "fax_number": "912-354-8545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Candler Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056092",
            "country_code": "US",
            "telephone_number": "912-819-5757",
            "fax_number": "912-819-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.