NPIMap

Individual provider Active NPI

Stephen R Savage, MD

  • Family Medicine Physician
  • Pulaski, TN
National Provider Identifier
1114071057
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019384 Issued in TN
Practice address
1119 East College Street
Suite 3
Pulaski, TN 38478
Phone
(931) 424-8881
Fax
(931) 424-5385
NPI assigned
Jan 22, 2007
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 019384 TN Primary

Addresses

Primary practice location

1119 East College Street
Suite 3
Pulaski, TN 38478

Mailing address

215 S Cedar LN
Pulaski, TN 38478-3502
Phone (931) 527-9999

Other identifiers 1

IdentifierTypeStateIssuer
3051287MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000895 TN Practitioner - Family Practice 5395726509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians and Surgeons IncGroup PAC ID 6305859935, 6 clinicians

Practice addresses (Care Compare)

215 S Cedar LN
Pulaski, TN 38478-3502
Phone 9313632511207

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019384TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians & Surgeons, Inc. Family Medicine CurrentSince Sep 21, 2020 Accepting new patients
Amg-Hillside LLC CurrentSince Apr 1, 2013 Accepting new patients
Amg-Hillside LLC CurrentSince Apr 1, 2013 Accepting new patients
Columbia Regional Medical Center, LLC Past Accepting new patients
Lung Center, PC Past Accepting new patients

Locations

181 Mill St
Lynnville, TN 38472
Phone (931) 347-4971

1119 E College St
Ste 3
Pulaski, TN 38478
Phone (931) 330-0850

1275 E College St
Ste 1
Pulaski, TN 38478
Phone (931) 207-8668

181 Bre Ave
Ste C
Pulaski, TN 38478
Phone (931) 363-3086

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

215 S Cedar Ln
Pulaski, TN 38478
Phone (931) 363-2511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1114071057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S CEDAR LN",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783502",
            "telephone_number": "931-527-9999",
            "fax_number": "931-527-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 EAST COLLEGE STREET",
            "address_2": "SUITE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-424-8881",
            "fax_number": "931-424-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "019384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051287",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.