Martina Kolovich

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN240475 Issued in GA

Practice address

900 Mohawk St
Ste E
Savannah, GA 31419-1844

Phone

(912) 925-0067

Fax

(912) 925-2381

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1184075012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST",
            "address_2": "STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191844",
            "telephone_number": "912-925-0067",
            "fax_number": "912-925-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST",
            "address_2": "STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191844",
            "telephone_number": "912-925-0067",
            "fax_number": "912-925-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOVICH",
        "first_name": "MARTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN240475",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN240475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Koehler, MD
• Jenna Koellner, RD, LD
• Marie Paule Koffi Bouaffo
• Joshua R Kohl, CRNA
• Gregory Paul Kolovich, M.D.
• Stephanie Komorowski
• Skyler Leigh Konou, PA-C
• Michael Irvin Konter, D.D.S.
• Benjamin L Kornblatt, D.O.
• Brian J Kornblatt, MD

• Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.