Savannah Nephrology,PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

037953 Issued in GA

Legal business name

SAVANNAH NEPHROLOGY,PC

Practice address

5102 Paulsen St BLDG 7
Savannah, GA 31405-4624

Phone

(912) 356-5171

Fax

(912) 354-7401

NPI assigned

Jun 19, 2006

Last updated

Dec 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James K Bazemore, MDNPI 1265435564

Title

President

Phone

(912) 356-5171

Specialties & licenses 4

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James K Bazemore, M.D.

  • Nephrology Physician
  • Savannah, GA
  • NPI 1265435564

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1184669301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-356-5171",
            "fax_number": "912-354-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-356-5171",
            "fax_number": "912-354-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH NEPHROLOGY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-356-5171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "R039856",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "R00079381",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "037953",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "15425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00597583C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154255",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/RR MEDICARE",
            "identifier": "CN4561",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00597583A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00929255A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Medical Specialists PC
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• Savannah Multispecialty Associates, LLC
• Savannah Natural Health Clinic LLC
• Savannah Neurology PC
• Savannah Neurology Specialists P C
• Savannah Neurology Specialists P C
• Savannah Neuropsychology Inc
• Savannah OBGYN PC

• Specialist in Savannah, GA
• Providers in Savannah, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.