Active NPI
Heather Denise Stewart, MD
- Pediatric Nephrology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 84183
- Practice address
- 4750 Waters Ave Ste 108
Savannah, GA 31404-6267 - Phone
- (912) 350-6543
- Fax
- (912) 350-7690
- NPI assigned
- Sep 13, 2007
- Last updated
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 37357 | SC | |
| Pediatric Nephrology Physician | 2080P0210X | 2008-00557 | NC | |
| Pediatric Nephrology Physician | 2080P0210X | 84183 | GA | Primary |
Addresses
Primary practice location
4750 Waters Ave Ste 108
Savannah, GA 31404-6267
Mailing address
4750 Waters Ave Ste 108
Savannah, GA 31404-6267
Phone (912) 350-6543
Other practice location 1
96 Jonathan Lucas St; Csb 428 Msc 608
Charleston, SC 29425-5866
Phone (843) 792-8904
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hstewart69606@epicsav.hcadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Medical University of South Carolina College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-6543
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84183 | GA | MD | Pediatric Nephrology Physician |
| 2008-00557 | NC | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Pediatric Care, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4750 Waters Ave
Ste 108
Savannah, GA 31404
Phone (912) 350-5940
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Savannah, GA
- NPI 1124532817
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1134314032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 WATERS AVE STE 108",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046267",
"telephone_number": "912-350-6543",
"fax_number": "912-350-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 WATERS AVE STE 108",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046267",
"telephone_number": "912-350-6543",
"fax_number": "912-350-7690"
}
],
"practiceLocations": [
{
"address_1": "96 Jonathan Lucas St; Csb 428 Msc 608",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294255866",
"country_code": "US",
"telephone_number": "843-792-8904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "HEATHER",
"middle_name": "DENISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "SC",
"license": "37357",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NC",
"license": "2008-00557",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "GA",
"license": "84183",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hstewart69606@epicsav.hcadirect.net",
"affiliation": "N",
"address_1": "96 Jonathan Lucas St; Csb 428 Msc 608",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294255866",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 20, 2022; 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.