Active NPI
Stephanie Denise Tootle, MD
- Obstetrics & Gynecology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 80591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80591 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Multispecialty Associates, LLC | Obstetrics & Gynecology | Current | 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.
-
- Trauma Surgery Physician
- Savannah, GA
- NPI 1528571320
Obstetrics & Gynecology, SC
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.
- 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.