Individual provider Active NPI

Zachary K Johannesen

  • Anesthesiologist Assistant
  • Savannah, GA
National Provider Identifier
1215364120
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
6984 Issued in GA
Practice address
5353 Reynolds Reynolds Street
Savannah, GA 31405-6015
Phone
(912) 819-6172
NPI assigned
Oct 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 6984 GA Primary

Addresses

Primary practice location

5353 Reynolds Reynolds Street
Savannah, GA 31405-6015

Mailing address

255 W Michigan Ave
PO Box 11223
Jackson, MI 49201-2218
Phone (800) 516-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131223001126 GA Practitioner - Anesthesiology Assistant 6103053012 Reassigns benefits to 4 organizations
I20201014002752 SC Practitioner - Anesthesiology Assistant 6103053012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians
American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians

Practice addresses (Care Compare)

1139 Lexington Ave
Suite B
Savannah, GA 31404-5502
Phone (912) 303-4200

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4100

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1207

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (678) 514-1991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71SCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Mar 16, 2016 Accepting new patients
Low Country Anesthesia, PA CurrentSince Jul 1, 2020 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Sep 1, 2020 Accepting new patients
Gi Anesthesia of Georgia LLC CurrentSince Apr 1, 2021 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Dec 25, 2018 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

13040 Abercorn St
Savannah, GA 31419
Phone (912) 429-9020

1139 Lexington Ave
Ste B
Savannah, GA 31404
Phone (912) 303-4200

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

11909 McAuley Dr
Ste B
Savannah, GA 31419
Phone (912) 819-2237

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

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1215364120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "PO BOX 11223",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-516-5315",
            "fax_number": "517-787-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS REYNOLDS STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNESEN",
        "first_name": "ZACHARY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-09",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "6984",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.