Advanced Pediatric Specialists LLC
Organization Active NPI Pediatrics Physician · Savannah, GA
NPI 1073046397 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1073046397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVANCED PEDIATRIC SPECIALISTS LLC
- Practice address
- 5353 Reynolds St
Savannah, GA 31405-6015 - Phone
- (912) 819-6000
- Fax
- (386) 274-7801
- NPI assigned
- Apr 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Mark Coffey, MD
- Title
- President
- Phone
- (912) 295-2133
Practitioners 278
-
John D Rowlett, MD
-
Christopher Sosa, M.D.
-
Mark F Coffey, M.D.
-
Anthony Allen, PA-C
-
Karen Beale Anderson, FNP
-
Martin R Artman, MD
-
Nancy Thornton Bailey, P.A.
-
Lina Bajraktari, N.P.
-
William A Benz, PA
-
Tony Bevill, P.A.-C
-
Mary Jo Christine Blakey, N.P.
-
Willie R Bowers, MD
-
Scott W. Bowling, P.A.
-
Catherine Bradley, MSN RN CS FNP DNP
-
Dwight K Brown, PA-C
-
Ludella Brown, APRN NP-C
-
Lafayette Burks, MD
-
Christy N Byczkoski, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170703001659 | GA | Part B Supplier - Clinic/Group Practice | 9830468073 |
Receives reassigned benefits from 4 practitioners Practice locations: Savannah, GA |
National Provider Directory
Locations
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
5353 Reynolds St
Savannah, GA 31405-6015
Mailing address
PO Box 12189
Daytona Beach, FL 32120-2189
Phone (386) 274-7800
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All providers in Savannah, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.