Active NPI
Savannah Integrative Pediatrics
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1235709601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SAVANNAH INTEGRATIVE PEDIATRICS
- Practice address
- 132 Stephenson Ave Suite 201
Savannah, GA 31405-3140 - Phone
- (912) 567-3700
- NPI assigned
- Jun 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sommer Clark, ANRP
- Title
- Manager
- Phone
- (912) 508-3983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
132 Stephenson Ave Suite 201
Savannah, GA 31405-3140
Mailing address
132 Stephenson Ave Suite 201
Savannah, GA 31405-8900
Phone (912) 567-3700
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2230226 | Savannah Integrative Pediatrics, LLC | Certificate of waiver | Jul 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
132 Stephenson Ave
Ste 201
Savannah, GA 31405
Phone (912) 567-3700
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Savannah, GA
- NPI 1932686565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1235709601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 STEPHENSON AVE SUITE 201",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314058900",
"telephone_number": "912-567-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 STEPHENSON AVE SUITE 201",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053140",
"telephone_number": "912-567-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNAH INTEGRATIVE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "SOMMER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "912-508-3983",
"authorized_official_credential": "ANRP"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Savannah Healthcare Group LLC
- Savannah Heart,P.C.
- Savannah Home Medical Incorporated
- Savannah Imaging Anesthesia and Sleep Diagnostics LLC
- Savannah Inpatient Services, LLC
- Savannah Medical LLC
- Savannah Medical Services LLC
- Savannah Medical Specialists PC
- Savannah Midwifery LLC
- Savannah Multispecialty Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.