Individual provider Active NPI

Joe David Christian III, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1104869189
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050506 Issued in GA
Practice address
4451 Paulsen St
Savannah, GA 31405
Phone
(912) 350-7500
Fax
(912) 350-7735
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050506 GA Primary

Addresses

Primary practice location

4451 Paulsen St
Savannah, GA 31405

Mailing address

4451 Paulsen St
Savannah, GA 31405-3637
Phone (912) 350-7500

Other identifiers 4

IdentifierTypeStateIssuer
110228403OtherGARR MEDICARE
349736OtherGAWELLCARE
000933083AMedicaidGA
10063589OtherGAAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000355 GA Practitioner - Internal Medicine 2062447352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Primary Care Associates LLCGroup PAC ID 4688935760, 36 clinicians

Practice addresses (Care Compare)

3780 US Hwy 17
Richmond Hill, GA 31324-3378
Phone (912) 756-2292

6602 Waters Ave
BLDG a
Savannah, GA 31406-2778
Phone (912) 897-3766

Hospital & facility affiliations

  • St Joseph'S/Candler Home Healthcare, Inc Home health agency, Savannah, GA, CCN 117143
  • Centerwell Home Health Home health agency, Savannah, GA, CCN 117090
  • Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050506GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Primary Care Associates, LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients

Locations

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404

6602 Waters Ave
Bldg A
Savannah, GA 31406
Phone (912) 350-6000

4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1104869189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-350-7500",
            "fax_number": "912-350-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-350-7500",
            "fax_number": "912-350-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "JOE",
        "middle_name": "DAVID",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110228403",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "349736",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933083A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10063589",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.