Active NPI
Stephen M Herman MD, LLC
- Internal Medicine Physician
- Savannah, GA
National Provider Identifier
1154791994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STEPHEN M HERMAN MD, LLC
- Practice address
- 130 Tibet Ave
Suite 206
Savannah, GA 31406-9028 - Phone
- (912) 777-8454
- Fax
- (912) 525-3212
- NPI assigned
- Oct 6, 2015
- 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
- Dr. Stephen M Herman, MD
- Title
- Owner
- Phone
- (912) 777-8454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | GA | Primary |
Addresses
Primary practice location
130 Tibet Ave
Suite 206
Savannah, GA 31406-9028
Mailing address
130 Tibet Ave
Suite 206
Savannah, GA 31406-9028
Phone (912) 777-8454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 Tibet Ave
Apt 206
Savannah, GA 31406
Phone (912) 777-8454
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rincon, GA
- NPI 1306845458
-
- Family Nurse Practitioner
- Savannah, GA
- NPI 1679405930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444089600000",
"number": "1154791994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TIBET AVE",
"address_2": "SUITE 206",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314069028",
"telephone_number": "912-777-8454",
"fax_number": "912-525-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 TIBET AVE",
"address_2": "SUITE 206",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314069028",
"telephone_number": "912-777-8454",
"fax_number": "912-525-3212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN M HERMAN MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-777-8454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 6, 2015; 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.