Individual provider Active NPI

Heather Denise Stewart, MD

  • Pediatric Nephrology Physician
  • Savannah, GA
National Provider Identifier
1134314032
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
84183 Issued in GA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address hstewart69606@epicsav.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200203000533 GA Practitioner - NephrologyPractitioner - Pediatric Medicine 9537317011 Reassigns benefits to 1 organization
I20260606000409 FL Practitioner - Nephrology 9537317011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Pediatric Care LLCGroup PAC ID 8921353954, 8 clinicians

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

LicenseStateTypeSpecialty
84183GAMDPediatric Nephrology Physician
2008-00557NCMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Pediatric Care, LLC CurrentSince Dec 2, 2019 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.