David R Nabert, M.D.

Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Statesboro, GA

NPI 1174590863 · NPPES record last updated Oct 9, 2017

Key facts

NPI
1174590863
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Cardiac Electrophysiology Physician 207RC0001X
License
056903 (GA)
Practice address
5 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone
(912) 489-6246
Fax
(912) 489-6346
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Statesboro Cardiology, PC (8 clinicians)

Practice addresses (Care Compare)

5 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone (912) 489-6246

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital · Statesboro, GA · CCN 110075

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051215000302 GA Practitioner - Cardiovascular Disease (Cardiology) 6709852585 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Statesboro Cardiology, PC Cardiovascular Disease Current
since Jun 30, 2011
Accepting new patients
Genesis Vascular of Pooler, LLC Cardiovascular Disease Past
since Jun 30, 2011
Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

1601 Fair Rd
Ste 5010
Statesboro, GA 30458

922 Northside Dr E
Statesboro, GA 30458
Phone (912) 489-6246

5 Grady Johnson Rd
Statesboro, GA 30458
Phone (912) 489-6246

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 056903 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X 056903 GA Yes

Addresses

Primary practice location

5 Grady Johnson Rd
Statesboro, GA 30458-6026

Mailing address

922 Northside Dr E
Statesboro, GA 30458-2168
Phone (912) 489-6246

Other identifiers

IdentifierTypeStateIssuer
489831463DMedicaidGA

Other providers in Statesboro, GA

All providers in Statesboro, GA · Clinical Cardiac Electrophysiology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.