Individual provider Active NPI

Savannah Alexis Writch, NP

  • Family Nurse Practitioner
  • Eatonton, GA
National Provider Identifier
1063294502
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN300319 Issued in GA
Practice address
1129 Lake Oconee Pkwy Ste 104
Eatonton, GA 31024-9581
Phone
(912) 658-8118
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN300319 GA Primary

Addresses

Primary practice location

1129 Lake Oconee Pkwy Ste 104
Eatonton, GA 31024-9581

Mailing address

104 Coldbrook Cir
Rincon, GA 31326-5636
Phone (912) 658-8118

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
I20231106002050 GA Practitioner - Nurse Practitioner 2163879602 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hormone and Diabetic Infusion Center CurrentSince Oct 18, 2023 Accepting new patients

Locations

1129 Lake Oconee Pkwy
Ste 104
Eatonton, GA 31024
Phone (706) 485-4004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1063294502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COLDBROOK CIR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265636",
            "telephone_number": "912-658-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 LAKE OCONEE PKWY STE 104",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249581",
            "telephone_number": "912-658-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRITCH",
        "first_name": "SAVANNAH",
        "middle_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN300319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

Verify at the official NPI Registry.