Individual provider Active NPI

Jessica Alexis Savas, M.D

  • Dermatology Physician
  • Winston Salem, NC
National Provider Identifier
1083031090
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2019-00535 Issued in NC
Practice address
4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone
(336) 716-3926
NPI assigned
Mar 27, 2014
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2019-00535 NC Primary

Addresses

Primary practice location

4618 Country Club Rd
Winston Salem, NC 27104-3520

Mailing address

4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190722001440 NC Practitioner - Dermatology 8022327675 Reassigns benefits to 1 organization
I20221220002587 SC Practitioner - Dermatology 8022327675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologic Surgery of the Carolinas LLCGroup PAC ID 1557448537, 3 clinicians

Practice addresses (Care Compare)

15830 Ballantyne Medical PL
Suite 225
Charlotte, NC 28277-0760
Phone 70491911055

420 Herlong Ave S
Suite 103
Rock Hill, SC 29732-1091
Phone 70491911055

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
79.36
Improvement activities
40
Cost
57.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision166
Removal of skin lesions72
Removal of skin cancer750
Removal of nail tissue1-10
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00535NCMDDermatology Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGEAA/Endpoint/JGGEAA
  • Direct secure messaging: jessica.savas@dsc.eclinicaldirectplus.com

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1083031090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043520",
            "telephone_number": "336-716-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043520",
            "telephone_number": "336-716-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAS",
        "first_name": "JESSICA",
        "middle_name": "ALEXIS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2019-00535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.