Individual provider Active NPI

Robert Earnest Sikes Jr., PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1053791434
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
112 Steeplechase Rd
Savannah, GA 31405-1049
Phone
(912) 856-9853
NPI assigned
Jun 1, 2015
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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 GA Primary

Addresses

Primary practice location

112 Steeplechase Rd
Savannah, GA 31405-1049

Mailing address

112 Steeplechase Rd
Savannah, GA 31405-1049
Phone (912) 856-9853

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001711 GA Practitioner - Physician Assistant 6800108515 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians
Southland Optim Screven Emergency Medical Services LLCGroup PAC ID 9739480021, 19 clinicians

Practice addresses (Care Compare)

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 375-7781

215 Mims Rd
Sylvania, GA 30467-1994
Phone (912) 557-1207

4 Medical Dr
Elberton, GA 30635-1830
Phone (706) 283-3151

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Primary Care Partners, LLC Current Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Sep 15, 2020 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Sep 15, 2020 Accepting new patients

Locations

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

Organizations & group practices 8

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 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1053791434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 STEEPLECHASE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051049",
            "telephone_number": "912-856-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 STEEPLECHASE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051049",
            "telephone_number": "912-856-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "ROBERT",
        "middle_name": "EARNEST",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.