Individual provider Active NPI

Samuel David Patrick McElroy, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1023302544
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
072319 Issued in GA
Practice address
4451 Paulsen St
Savannah
Savannah, GA 31405-3664
Phone
(912) 350-7500
Fax
(912) 350-7735
NPI assigned
Jun 1, 2011
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 072319 GA Primary

Addresses

Primary practice location

4451 Paulsen St
Savannah
Savannah, GA 31405-3664

Mailing address

4451 Paulsen St
Savannah
Savannah, GA 31405-3664
Phone (912) 350-7500

Other identifiers 2

IdentifierTypeStateIssuer
003137659BMedicaidGA
P01366532OtherGARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smcelroy49715@epicsav.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000869 GA Practitioner - Internal Medicine 0941428031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Primary Care Associates LLCGroup PAC ID 4688935760, 36 clinicians

Practice addresses (Care Compare)

1101 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 350-7171

3780 US Hwy 17
Richmond Hill, GA 31324-3378
Phone (912) 756-2292

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072319GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Savannah Primary Care Associates, LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients

Locations

1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404

4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500

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

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, 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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1023302544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 PAULSEN ST",
            "address_2": "SAVANNAH",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053664",
            "telephone_number": "912-350-7500",
            "fax_number": "912-350-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 PAULSEN ST",
            "address_2": "SAVANNAH",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053664",
            "telephone_number": "912-350-7500",
            "fax_number": "912-350-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "SAMUEL",
        "middle_name": "DAVID PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "072319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137659B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01366532",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcelroy49715@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4451 Paulsen St",
            "address_2": "SAVANNAH",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314053664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.