Sanjeeva Sumitra Pagidi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0616869 Issued in GA

Practice address

785 King George Blvd
Savannah, GA 31419-9501

Phone

(912) 349-4376

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1194298133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 COFFEE POINTE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193168",
            "telephone_number": "912-663-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 KING GEORGE BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199501",
            "telephone_number": "912-349-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGIDI",
        "first_name": "SANJEEVA",
        "middle_name": "SUMITRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0616869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Padilla, RBT
• Sarah Maria Paese, AU.D.
• Aaliyah Page
• Amanda Page, APRN, FNP-C, ENP-C
• Caroline Page, DMD
• Helen Paglia, DO
• Pain Treatment Centers of Georgia LLC
• William Zachary Painter, PHARMD
• John Domenic Paletta, M.D.
• Nina Jo Paletta, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.