Active NPI
Julia L Mikell, M.D.
- Neurology Physician
- Savannah, GA
National Provider Identifier
1174593180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21741
- Practice address
- 6602 Waters Ave
Building C
Savannah, GA 31406-2778 - Phone
- (912) 354-7676
- Fax
- (912) 354-2181
- NPI assigned
- Jan 23, 2006
- Last updated
- Jul 20, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 21741 | GA | Primary |
Addresses
Primary practice location
6602 Waters Ave
Building C
Savannah, GA 31406-2778
Mailing address
6602 Waters Ave
Building C
Savannah, GA 31406-2778
Phone (912) 354-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000204058G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21741 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Neurology Specialists P C | Neurology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Savannah, GA
- NPI 1629203294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1174593180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 WATERS AVE",
"address_2": "BUILDING C",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062778",
"telephone_number": "912-354-7676",
"fax_number": "912-354-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 WATERS AVE",
"address_2": "BUILDING C",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062778",
"telephone_number": "912-354-7676",
"fax_number": "912-354-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKELL",
"first_name": "JULIA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "21741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000204058G",
"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 Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.