Savannah Chantae Doughty, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101472 Issued in OK

Practice address

1201 E Wade Watts Ave
McAlester, OK 74501-5655

Phone

(918) 794-6008

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Savannah Chantae Gammon Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinton J Baird PLCGroup PAC ID 7911242961, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

Merit-based Incentive Payment System (MIPS)

Final score

88.26 of 100Reported as group

Quality

75.75

Improvement activities

40

Cost

69.63

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olympianeurologicalinstitute.savannahdoughty@152786.advancedmd-direct.com

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.

• Clinton J Baird PLC

  dba Olympia Neurological Institute

  • Neurological Surgery Physician
  • Tulsa, OK
  • NPI 1912474974
  Medicare reassignment Care Compare group NPD
• Clinton J Baird PLC

  dba Olympia Neurological Institute

  • Neurological Surgery Physician
  • Tulsa, OK
  • NPI 1376324087
  NPD

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

• McAlester Regional Health Center Authority

  dba McAlester Regional Health Center

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1114573250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E WADE WATTS AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015655",
            "telephone_number": "918-794-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E WADE WATTS AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015655",
            "telephone_number": "918-794-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Carl Albert Pkwy Ste D1",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745015065",
            "country_code": "US",
            "telephone_number": "918-423-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "SAVANNAH",
        "middle_name": "CHANTAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "101472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "GAMMON",
            "middle_name": "CHANTAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kierstin Dominick
• Grady David Donathan III, DDS
• Stephanie R Donato, M.A, LPC UNDER SUPER
• Gladys Rosann Dosch, RN, IBCLC
• Dougherty's Pharmacy McAlester, LLC (The Medicine Shoppe Pharmacy)
• Douglas Counseling
• Carla Sue Douglas, PTA
• Lori Douglas
• Samantha Janiece Douglas, APRN, FNP-C
• David Lee Doyle, MD

• Family Nurse Practitioner in McAlester, OK
• Providers in McAlester, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.