Ruth Pannell Crider, MD

Key facts

NPI

1124055413

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

056616 (GA)

Practice address

5 Executive Cir
Savannah, GA 31406-3345

Phone

(912) 355-2400

Fax

(912) 355-5324

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Georgia Emergency Associates Emergency Medicine Physician · Rincon, GA · NPI 1528098290
  Medicare reassignment NPD EMERGENCY MEDICINE · GA
• Advanced Pediatric Specialists LLC Pediatrics Physician · Savannah, GA · NPI 1073046397
  NPD (past)
• Georgia Emergency Associates Immediate Care Center General Practice Physician · Bluffton, SC · NPI 1699147421
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 23, 2008.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1124055413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063345",
            "telephone_number": "912-355-2400",
            "fax_number": "912-355-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063345",
            "telephone_number": "912-355-2400",
            "fax_number": "912-355-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "RUTH",
        "middle_name": "PANNELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "056616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796304669C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01067792",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796304669D",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G56616",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

• Stacy Creel
• Melissa Decker Crenshaw, MD
• Rebecca Cresswell
• Ashely Cribbs
• Robert Lyons Crider Jr.
• Savannah Kailani Crisologo, AUD, CCC-A
• Madigan Critell
• Henry George Croci, M.D.
• Sabrina Croft, PHARMD
• Stephanie D Croll, MD

All providers in Savannah, GA · Emergency Medicine Physician in Georgia