Individual provider Active NPI

Stephanie Denise Tootle, MD

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1013257344
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
80591 Issued in GA
Practice address
1004 Memorial LN Ste 500
Savannah, GA 31410
Phone
(912) 897-4604
NPI assigned
Feb 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 80591 GA Primary

Addresses

Primary practice location

1004 Memorial LN Ste 500
Savannah, GA 31410

Mailing address

1004 Memorial LN Ste 500
Savannah, GA 31410-1264
Phone (912) 897-4604

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180824001128 GA Practitioner - Obstetrics/Gynecology 1951523125 Reassigns benefits to 1 organization
I20190726001244 SC Practitioner - Obstetrics/Gynecology 1951523125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

1101 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 350-7020

4700 Waters Ave
Savannah, GA 31404-6220

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80591GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Multispecialty Associates, LLC Obstetrics & Gynecology CurrentSince Aug 20, 2018 Accepting new patients
Savannah Health Services, LLC Past Accepting new patients

Locations

1004 Memorial Ln
Ste 500
Savannah, GA 31410
Phone 9123508974604

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

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1361577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1013257344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MEMORIAL LN STE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101264",
            "telephone_number": "912-897-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MEMORIAL LN STE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31410",
            "telephone_number": "912-897-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTLE",
        "first_name": "STEPHANIE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-23",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "80591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.