Individual provider Active NPI

Lawrence F Zottoli, MD

  • Family Medicine Physician
  • Pooler, GA
National Provider Identifier
1184788812
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036639 Issued in GA
Practice address
101 St. Joseph Candler Drive
Suite 200
Pooler, GA 31322
Phone
(912) 748-1999
Fax
(912) 748-3847
NPI assigned
Dec 20, 2006
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GA036639 GA
Family Medicine Physician 207Q00000X 036639 GA Primary

Addresses

Primary practice location

101 St. Joseph Candler Drive
Suite 200
Pooler, GA 31322

Mailing address

101 St. Joseph's Candler Drive
Suite 200
Pooler, GA 31322
Phone (912) 748-1999

Other identifiers 2

IdentifierTypeStateIssuer
00531286BMedicaidGA
80042552OtherGARAILROAD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000117 GA Practitioner - Family Practice 2860459989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SJC Medical Group IncGroup PAC ID 7719978105, 57 clinicians

Practice addresses (Care Compare)

102 Bryan Wood Rd
Savannah, GA 31410-1225
Phone (912) 898-1122

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA036639GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Georgia Medical, P.C. Family Medicine Current Accepting new patients
Premise Health of Georgia Medical PC Family Medicine CurrentSince Sep 15, 2004 Accepting new patients
SJC Medical Group Inc Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
Premise Health of Georgia Medical PC CurrentSince Sep 15, 2004 Accepting new patients
Candler Medical Group, Inc. - Islands Family Medicine PastSince Oct 1, 2021 Accepting new patients

Locations

1128 S Park St
Carrollton, GA 30117
Phone (770) 836-0770

101 Saint Josephs Candler Dr
Ste 200
Pooler, GA 31322
Phone (912) 748-1999

102 Bryan Woods Rd
Savannah, GA 31410
Phone (912) 828-1122

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

527 Eisenhower Dr
Savannah, GA 31406
Phone (912) 443-4200

602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

836 E 65th St
Ste 4
Savannah, GA 31405
Phone (912) 303-1309

16906 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: drzott@direct.sjchs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1184788812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ST. JOSEPH'S CANDLER DRIVE",
            "address_2": "SUITE 200",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "912-748-1999",
            "fax_number": "912-748-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ST. JOSEPH CANDLER DRIVE",
            "address_2": "SUITE 200",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "912-748-1999",
            "fax_number": "912-748-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOTTOLI",
        "first_name": "LAWRENCE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA036639",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531286B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "80042552",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.