NPIMap

Organization Active NPI

Gastroenterology Consultants of Savannah, PC

  • Specialist
  • Savannah, GA
National Provider Identifier
1013012145
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
008668 Issued in GA
Legal business name
GASTROENTEROLOGY CONSULTANTS OF SAVANNAH, PC
Practice address
519 Stephenson Ave
Savannah, GA 31405-5969
Phone
(912) 354-9447
Fax
(912) 355-3711
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Mrs. Penny R Oswell
Title
Business Manager
Phone
(912) 354-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 008668 GA Primary

Addresses

Primary practice location

519 Stephenson Ave
Savannah, GA 31405-5969

Mailing address

519 Stephenson Ave
Savannah, GA 31405-5969
Phone (912) 354-9447

Other identifiers 3

IdentifierTypeStateIssuer
7995OtherSCMEDICARE
CD0036OtherGARAILROAD MEDICARE
55000984AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040316000725 GA Part B Supplier - Clinic/Group Practice 6305736208 Receives reassigned benefits from 17 practitioners
Practice locations: Pooler, GA; Savannah, GA
O20040708000215 SC Part B Supplier - Clinic/Group Practice 6305736208 Receives reassigned benefits from 1 practitioner
Practice locations: Bluffton, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0264755Gastroenterology Consultants of Savannah PC519 Stephenson Avenue, Savannah, GA 31405ComplianceAug 7, 2027

National Provider Directory

National Provider Directory

Locations

101 Saint Josephs Candler Dr
Ste 310
Pooler, GA 31322

1000 Towne Center Blvd
Ste 305
Pooler, GA 31322
Phone (912) 352-7902

114 Canal St
Ste 501
Pooler, GA 31322
Phone (912) 450-8100

1000 Towne Center Blvd
Bldg 300
Pooler, GA 31322
Phone (912) 721-6670

613 Stephenson Ave
Savannah, GA 31405
Phone (912) 988-1444

11706 Mercy Blvd
Ste 7
Savannah, GA 31419
Phone (912) 961-9753

613 Stephenson Ave
Ste 203
Savannah, GA 31405

10 Oak Forest Rd
Ste C
Bluffton, SC 29910
Phone (843) 785-7515

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1013012145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447",
            "fax_number": "912-355-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447",
            "fax_number": "912-355-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF SAVANNAH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "OSWELL",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "912-354-9447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "008668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7995",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD0036",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000984A",
            "state": "GA"
        }
    ],
    "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 Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.