Organization Active NPI

Chatham Skin and Cancer Center

  • Dermatology Physician
  • Savannah, GA
National Provider Identifier
1083709844
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
037810 Issued in GA
Legal business name
CHATHAM SKIN AND CANCER CENTER
Practice address
639 Stephenson Ave.
A
Savannah, GA 31405-5970
Phone
(912) 354-7124
Fax
(912) 353-8944
NPI assigned
Oct 4, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Claudia Nadine Gaughf, M.D.NPI 1669567590
Title
Owner
Phone
(912) 354-7124

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 037810 GA Primary

Addresses

Primary practice location

639 Stephenson Ave.
A
Savannah, GA 31405-5970

Mailing address

639 Stephenson Ave.
A
Savannah, GA 31405-5970
Phone (912) 354-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000173 GA Part B Supplier - Clinic/Group Practice 6901893387 Receives reassigned benefits from 5 practitioners
Practice locations: Pooler, GA; Savannah, GA

National Provider Directory

National Provider Directory

Locations

1000 Towne Center Blvd
Ste 900B
Pooler, GA 31322
Phone (912) 354-7124

200 Interchange Dr
Richmond Hill, GA 31324
Phone (912) 721-2262

639 Stephenson Ave
#A
Savannah, GA 31405
Phone (912) 354-7124

639A Stephenson Ave
Savannah, GA 31405
Phone (912) 354-7124

639B Stephenson Ave
Savannah, GA 31405

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1083709844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STEPHENSON AVE.",
            "address_2": "A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055970",
            "telephone_number": "912-354-7124",
            "fax_number": "912-353-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 STEPHENSON AVE.",
            "address_2": "A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055970",
            "telephone_number": "912-354-7124",
            "fax_number": "912-353-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM SKIN AND CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "GAUGHF",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-354-7124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "037810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.

Verify at the official NPI Registry.