Active NPI
Manning M. Goldsmith III, M.D.
- Otolaryngology Physician
- Savannah, GA
National Provider Identifier
1164464111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0215161
- Practice address
- 5356 Reynolds St
Suite 505
Savannah, GA 31405-6106 - Phone
- (912) 644-5300
- Fax
- (912) 644-5260
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0215161 | GA | Primary |
Addresses
Primary practice location
5356 Reynolds St
Suite 505
Savannah, GA 31405-6106
Mailing address
5356 Reynolds St
Suite 505
Savannah, GA 31405-6106
Phone (912) 644-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000281113P | Medicaid | GA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0215161 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candler ENT Practice, LLC | Otolaryngology | Current | Accepting new patients |
| Georgia Ear Associates PC | Past | Accepting new patients |
Locations
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
5356 Reynolds St
Ste 505
Savannah, GA 31405
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
Interoperability endpoints
- mgoldsmith@gent2091.srs-direct.com
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Savannah, GA
- NPI 1477969749
-
- Specialist
- Savannah, GA
- NPI 1316084122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1164464111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5356 REYNOLDS ST",
"address_2": "SUITE 505",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056106",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5356 REYNOLDS ST",
"address_2": "SUITE 505",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056106",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "MANNING",
"middle_name": "M.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "0215161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000281113P",
"state": "GA"
}
],
"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 May 3, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.