Active NPI
Ana Maria Concepcion MD, LLC
- Specialist
- Savannah, GA
National Provider Identifier
1114115300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 047070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP4413 | Other | GA | MEDICARE GROUP NO. |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Savannah, GA
- NPI 1174508576
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.