Individual provider Active NPI

Shaun Iletha Franklin, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1063451656
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040663 Issued in GA
Practice address
325 W Montgomery XRD
Savannah, GA 31406-3309
Phone
(912) 920-0214
Fax
(912) 921-2004
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040663 GA Primary

Addresses

Primary practice location

325 W Montgomery XRD
Savannah, GA 31406-3309

Mailing address

325 W Montgomery XRD
Savannah, GA 31406-3309
Phone (912) 920-0214

Other identifiers 3

IdentifierTypeStateIssuer
08BBTXNOtherGAGA MEDICARE PTAN FOR MPPG & GRP3905
G40663MedicaidSC
080164681OtherGARR MEDICARE FOR MPPG & CH5121

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
I20200520002406 GA Practitioner - Family Practice 8123090446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040663GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital, Inc CurrentSince Apr 30, 2024 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Apr 30, 2024 Accepting new patients
Phoebe Physician Group, Inc CurrentSince May 1, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Memorial Health Urgentone, Inc. Family Medicine Past Accepting new patients
Phoebe Putney Memorial Hospital Inc Family Medicine Past Accepting new patients
Memorial Health Urgentone, Inc. Family Medicine Past Accepting new patients

Locations

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2336 Dawson Rd
Ste 1500
Albany, GA 31707
Phone (229) 312-8800

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

Interoperability endpoints

  • Direct secure messaging: shaun.franklin.1@8478.direct.athenahealth.com
  • Direct secure messaging: shaun.franklin@phoebehealth.gadirect.net

Organizations & group practices 7

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.

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1063451656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MONTGOMERY XRD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063309",
            "telephone_number": "912-920-0214",
            "fax_number": "912-921-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W MONTGOMERY XRD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063309",
            "telephone_number": "912-920-0214",
            "fax_number": "912-921-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "SHAUN",
        "middle_name": "ILETHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICARE PTAN FOR MPPG & GRP3905",
            "identifier": "08BBTXN",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G40663",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FOR MPPG & CH5121",
            "identifier": "080164681",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.