Active NPI
Steward Center for Palliative Care
- Case Management Agency
- Savannah, GA
National Provider Identifier
1013964907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- STEWARD CENTER FOR PALLIATIVE CARE
- Practice address
- 1352 Eisenhower Dr
Savannah, GA 31406-3902 - Phone
- (912) 354-8014
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Deloach Benton
- Title
- Ceo/President
- Phone
- (912) 354-8014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | GA | Primary |
Addresses
Primary practice location
1352 Eisenhower Dr
Savannah, GA 31406-3902
Mailing address
PO Box 14549
Savannah, GA 31416-1549
Phone (912) 354-8014
Other practice location 1
225 Candler Dr
Savannah, GA 31405-6023
Phone (912) 354-8014
Other practice location 2
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 354-8014
Other practice location 3
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-8014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050815000415 | GA | Part B Supplier - Clinic/Group Practice | 5597795161 |
Receives reassigned benefits from 11 practitioners Practice locations: Savannah, GA |
National Provider Directory
National Provider DirectoryLocations
1674 Chatham Pkwy
Savannah, GA 31405
Phone (912) 354-8014
225 Candler Dr
Ste 3
Savannah, GA 31405
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1245630730
GA
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fayetteville, GA
- NPI 1861790552
GA
-
- Family Medicine Physician
- Hinesville, GA
- NPI 1609966456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1013964907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14549",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314161549",
"telephone_number": "912-354-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1352 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063902",
"telephone_number": "912-354-8014"
}
],
"practiceLocations": [
{
"address_1": "225 Candler Dr",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056023",
"country_code": "US",
"telephone_number": "912-354-8014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11705 Mercy Blvd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314191711",
"country_code": "US",
"telephone_number": "912-354-8014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5353 Reynolds St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056015",
"country_code": "US",
"telephone_number": "912-354-8014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STEWARD CENTER FOR PALLIATIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "BENTON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "DELOACH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "912-354-8014"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.