Active NPI
Mary Ashley Pemberton, AA
- Anesthesiologist Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 5353 Reynolds St
Savannah, GA 31405-6015 - Phone
- (912) 819-6172
- NPI assigned
- Oct 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
5353 Reynolds St
Savannah, GA 31405-6015
Mailing address
255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249
Hospital & facility affiliations
- Viera Hospital
- Musc Health Florence Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Low Country Anesthesia, PA | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
2627 W Eau Gallie Blvd
Ste 101
Melbourne, FL 32935
Phone (321) 802-6859
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Anesthesiology Physician
- Hilton Head Island, SC
- NPI 1639995830
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1124691159
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1245549575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"address_2": "PO BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "912-819-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "MARY",
"middle_name": "ASHLEY",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"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 Oct 5, 2010; 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.