Individual provider Active NPI

Savannah Milam

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1063179018
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905030 Issued in MS
Practice address
6099 Mount Moriah Road Ext
Memphis, TN 38115-0313
Phone
(901) 433-1133
NPI assigned
Nov 24, 2021
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905030 MS Primary
Family Nurse Practitioner 363LF0000X 905030 MS

Addresses

Primary practice location

6099 Mount Moriah Road Ext
Memphis, TN 38115-0313

Mailing address

587 Cobblestone LN
Hernando, MS 38632-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20221101003393 MS Practitioner - Nurse Practitioner 7618344771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pravinchandra P. Patel, MD P.C.Group PAC ID 8325117500, 8 clinicians

Practice addresses (Care Compare)

423 Central Ave
Coldwater, MS 38618-3915
Phone (662) 622-7011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905030MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pravinchandra P. Patel, MD P.C. CurrentSince Sep 1, 2022 Accepting new patients
Multimodality Pain & Wellness Center PastSince Nov 3, 2019 Accepting new patients

Locations

423 Central Ave
Coldwater, MS 38618
Phone (662) 294-2241

6965 Oak Forest Dr
Olive Branch, MS 38654
Phone (662) 622-7011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHEBD

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 1

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1063179018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 COBBLESTONE LN",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150313",
            "telephone_number": "901-433-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905030",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.