Thomas K Pedigo, EDD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002145 Issued in GA

Practice address

450 Mall Blvd Ste E
Savannah, GA 31406-4864

Phone

(912) 349-4055

Fax

(912) 244-6500

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Savannah Neuropsychology IncGroup PAC ID 9436510690, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Savannah Neuropsychology Inc

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1699450064
  Medicare reassignment Care Compare group NPD Authorized official
• Medical & Rehabilitation Psychology Associates, P.C.

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1790901742
  Medicare reassignment NPD
• Pediatric & Adolescent Psychology

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1891966925
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1164559738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MALL BLVD STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064864",
            "telephone_number": "912-349-4055",
            "fax_number": "912-244-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MALL BLVD STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064864",
            "telephone_number": "912-349-4055",
            "fax_number": "912-244-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates of Savannah, P.C.
• Pediatric Dentistry of Savannah, LLC
• Pediatric Rehabilitation and Wellness LLC
• Pediatric Salt Clinic, LLC
• Pediatric Services of America, LLC
• Peds Health
• Sierra Peebles, RN
• Dyshanell Jarqueal-Dakota Peek
• Britany Pegram
• Daniel Lynn Pegram Jr., LMFT

• Clinical Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.

Verify at the official NPI Registry.