Organization Active NPI

Ana Maria Concepcion MD, LLC

  • Specialist
  • Savannah, GA
National Provider Identifier
1114115300
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
047070 Issued in GA
Legal business name
ANA MARIA CONCEPCION MD, LLC
Practice address
11702 Mercy Blvd
Ste. 2E
Savannah, GA 31419-1750
Phone
(912) 925-8883
Fax
(912) 925-8689
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Miss Shaundra L. Robinson
Title
LPN
Phone
(912) 925-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 047070 GA Primary

Addresses

Primary practice location

11702 Mercy Blvd
Ste. 2E
Savannah, GA 31419-1750

Mailing address

11702 Mercy Blvd
Ste. 2E
Savannah, GA 31419-1750
Phone (912) 925-8883

Other identifiers 1

IdentifierTypeStateIssuer
GRP4413OtherGAMEDICARE GROUP NO.

National Provider Directory

National Provider Directory

Locations

11702 Mercy Blvd
Ste 2E
Savannah, GA 31419
Phone (912) 925-8883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1114115300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11702 MERCY BLVD",
            "address_2": "STE. 2E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191750",
            "telephone_number": "912-925-8883",
            "fax_number": "912-925-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 MERCY BLVD",
            "address_2": "STE. 2E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191750",
            "telephone_number": "912-925-8883",
            "fax_number": "912-925-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA MARIA CONCEPCION MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHAUNDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "912-925-8883",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "047070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NO.",
            "identifier": "GRP4413",
            "state": "GA"
        }
    ],
    "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 Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.