Active NPI
Savannah Pediatric Care, LLC
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1124532817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SAVANNAH PEDIATRIC CARE, LLC
- Practice address
- 5102 Paulsen St BLDG 3
Savannah, GA 31405-4614 - Phone
- (912) 350-7914
- NPI assigned
- Nov 17, 2017
- Last updated
- Nov 17, 2017
- 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
- Robert A Faile
- Title
- Vice President
- Phone
- (843) 856-7923
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Hematology & Oncology Physician | 2080P0207X |
Addresses
Primary practice location
5102 Paulsen St BLDG 3
Savannah, GA 31405-4614
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 372-5426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4700 Waters Ave
Ste 300
Savannah, GA 31404
Phone (912) 350-5646
4750 Waters Ave
Savannah, GA 31404
Phone (912) 350-8193
14 Okatie Center Blvd S
#101
Okatie, SC 29909
Phone (843) 836-3800
Practitioners & affiliated clinicians
Practitioners 32
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Surgery Physician
- Savannah, GA
- NPI 1174567309
-
- Pediatric Surgery Physician
- Savannah, GA
- NPI 1346393261
-
- Pediatric Critical Care Medicine Physician
- Savannah, GA
- NPI 1942525183
-
- Pediatrics Physician
- Savannah, GA
- NPI 1689619033
-
- Pediatric Gastroenterology Physician
- Savannah, GA
- NPI 1851370019
-
- Pediatric Nephrology Physician
- Savannah, GA
- NPI 1134314032
-
- Nurse Practitioner
- Savannah, GA
- NPI 1447938402
-
- Nurse Practitioner
- Savannah, GA
- NPI 1366697419
-
- Pediatrics Physician
- Savannah, GA
- NPI 1740440916
-
- Pediatric Critical Care Medicine Physician
- Augusta, GA
- NPI 1750351326
Pediatrics
-
- Pediatrics Physician
- Savannah, GA
- NPI 1922636828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510876800000",
"number": "1124532817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274525",
"telephone_number": "615-372-5426",
"fax_number": "866-831-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5102 PAULSEN ST BLDG 3",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054614",
"telephone_number": "912-350-7914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNAH PEDIATRIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A",
"authorized_official_last_name": "FAILE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "843-856-7923"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Savannah Outpatient Foot and Ankle Surgery Center, LLC (Savannah Outpatient Foot and Ankle Surgery Center)
- Savannah Pain Center, LLC
- Savannah Pain Management, Inc.
- Savannah Partners, LLC (ENT Surgical Center)
- Savannah Pathology Services, PC
- Savannah Pediatric Specialists, LLC
- Savannah Pediatrics, P.C.
- Savannah Pelvic Reconstructive Surgery Center (Urogyn Savannah)
- Savannah Perio & Implants
- Savannah Periodontics, P.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.