Active NPI
Advanced Pediatric Specialists LLC
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1073046397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
- Last updated
- Apr 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Coffey, MD
- Title
- President
- Phone
- (912) 295-2133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 278
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1134171804
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1396789657
-
- Pediatrics Physician
- Savannah, GA
- NPI 1417391350
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1144260274
-
- Pediatrics Physician
- Savannah, GA
- NPI 1942307194
-
- Surgical Physician Assistant
- Conyers, GA
- NPI 1457441222
-
- Family Nurse Practitioner
- Sylvania, GA
- NPI 1679516777
-
- Family Medicine Physician
- Brunswick, GA
- NPI 1104890284
-
- Physician Assistant
- Statesboro, GA
- NPI 1225037971
-
- Nurse Practitioner
- Savannah, GA
- NPI 1558611434
-
- Medical Physician Assistant
- Savannah, GA
- NPI 1497922199
-
- Physician Assistant
- Thomasville, GA
- NPI 1528395928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491264000000",
"number": "1073046397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12189",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321202189",
"telephone_number": "386-274-7800",
"fax_number": "386-274-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "912-819-6000",
"fax_number": "386-274-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PEDIATRIC SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A",
"authorized_official_last_name": "COFFEY",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-295-2133",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Advanced Dental Aesthetics (Savannah Dental Group)
- Advanced Eye Center, Inc.
- Advanced Healing Wound Care LLC
- Advanced Medical Resources
- Advanced Neurosurgical Solutions, LLC
- Advanced Prosthetics and Orthotics
- Advanced Regenerative Therapy
- Advanced Rehabilitation Medicine, LLC
- Advanced Therapy Solutions LLC
- Advantage Infusions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.