Organization Active NPI

Starland Family Practice

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1245720689
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STARLAND FAMILY PRACTICE
Practice address
9100 White Bluff Rd Ste 501
Savannah, GA 31406-4672
Phone
(912) 800-1017
Fax
(877) 836-3638
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Brandon Earehart, PA-CNPI 1881701472
Title
Ceo
Phone
(912) 800-1017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9100 White Bluff Rd Ste 501
Savannah, GA 31406-4672

Mailing address

9100 White Bluff Rd Ste 501
Savannah, GA 31406-4672
Phone (912) 800-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200128001102 GA Part B Supplier - Clinic/Group Practice 2264868959 Receives reassigned benefits from 2 practitioners
Practice locations: Savannah, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2145047Starland Family Practice9100 White Bluff Road, Suite 501, Savannah, GA 31406Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

9100 White Bluff Rd
Ste 501
Savannah, GA 31406
Phone (912) 800-1017

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1245720689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD STE 501",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064672",
            "telephone_number": "912-800-1017",
            "fax_number": "877-836-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD STE 501",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064672",
            "telephone_number": "912-800-1017",
            "fax_number": "877-836-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLAND FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "EAREHART",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-800-1017",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Aug 25, 2022; 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.