Individual provider Active NPI

Emmakatherine Logan McIntosh, PA

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1124079298
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3533 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
Fax
(912) 525-1325
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3533 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Other practice location 1

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20060413000368 GA Practitioner - Physician Assistant 6901815240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Orthopaedic Associates PAGroup PAC ID 8022910306, 55 clinicians

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3637

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3663

4425 Paulsen St B
Savannah, GA 31405-3663
Phone (912) 355-6615

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3533GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Orthopaedic Associates, PA CurrentSince Oct 1, 2005 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Oct 1, 2005 Accepting new patients
Chatham Orthopaedic Associates, PA Past Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

Interoperability endpoints

  • Direct secure messaging: emma.kate.mcintosh.1@18355.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1124079298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-525-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-525-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229579",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "EMMAKATHERINE",
        "middle_name": "LOGAN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.