Active NPI
Mary Ann Kilgore, PT
- Physical Therapist
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006982
- Practice address
- 4425A Paulsen St FL 2
Savannah, GA 31405-3637 - Phone
- (912) 354-5100
- Fax
- (912) 354-5300
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006982 | GA | Primary |
Addresses
Primary practice location
4425A Paulsen St FL 2
Savannah, GA 31405-3637
Mailing address
4425A Paulsen St FL 2
Savannah, GA 31405-3637
Phone (912) 354-5100
Other practice location 1
613 Towne Park Dr W Ste 303-304
Rincon, GA 31326-5182
Phone (912) 355-6615
Other practice location 2
1203 Gandy Dancer
Richmond Hill, GA 31324-8895
Phone (912) 355-6615
Other practice location 3
1000 Towne Center Blvd Ste 602
Pooler, GA 31322-4071
Phone (912) 355-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190904002861 | GA | Practitioner - Physical Therapist in Private Practice | 6305175167 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chatham Orthopaedic Associates PA
Practice addresses (Care Compare)
4425 Paulsen St
A
Savannah, GA 31405-3637
Phone (912) 354-5100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84 of 100
- Quality
- 65.06
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 83.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effingham Orthopedic Practice, LLC | Current | Accepting new patients | |
| Chatham Orthopaedic Associates, PA | Physical Therapist | Current | Accepting new patients |
| Chatham Orthopaedic Associates, P.a. | Current | Accepting new patients | |
| Chatham Orthopaedic Associates, PA | Current | Accepting new patients |
Locations
20 William Blakely Xing
Pooler, GA 31322
1000 Towne Center Blvd
Ste 602
Pooler, GA 31322
Phone (912) 228-3502
1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651
613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111
613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111
4425 Paulsen St
Bldg B
Savannah, GA 31405
4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820
4425 Paulsen St
Bldg A
Savannah, GA 31405
Phone (912) 350-6000
4425 Paulsen St
Fl 2A
Savannah, GA 31405
1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100
4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100
Interoperability endpoints
- mary.ann.kilgore.1@18355.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1366495814
GA, Physical Therapist
-
- Orthopaedic Surgery Physician
- Pooler, GA
- NPI 1598153900
-
- Orthopaedic Surgery Physician
- Richmond Hill, GA
- NPI 1134640907
-
- Clinical Medical Laboratory
- Savannah, GA
- NPI 1164448296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1093368458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425A PAULSEN ST FL 2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053637",
"telephone_number": "912-354-5100",
"fax_number": "912-354-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425A PAULSEN ST FL 2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053637",
"telephone_number": "912-354-5100",
"fax_number": "912-354-5300"
}
],
"practiceLocations": [
{
"address_1": "613 Towne Park Dr W Ste 303-304",
"address_purpose": "LOCATION",
"city": "Rincon",
"state": "GA",
"postal_code": "313265182",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1203 Gandy Dancer",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313248895",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Towne Center Blvd Ste 602",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313224071",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILGORE",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006982",
"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 Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.