Individual provider Active NPI

Savannah Faith Mory, PA

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1043087034
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10733 Issued in AZ
Practice address
2842 N Melpomene Dr
Tucson, AZ 85749-9768
Phone
(520) 304-8270
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10733 AZ Primary

Addresses

Primary practice location

2842 N Melpomene Dr
Tucson, AZ 85749-9768

Mailing address

2842 N Melpomene Dr
Tucson, AZ 85749-9768
Phone (520) 304-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015000777 AZ Practitioner - Physician Assistant 0143752279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10733AZMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: savannah.mory.p1@direct.aara.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1043087034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 N MELPOMENE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499768",
            "telephone_number": "520-304-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 N MELPOMENE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499768",
            "telephone_number": "520-304-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORY",
        "first_name": "SAVANNAH",
        "middle_name": "FAITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.