Individual provider Active NPI

Susan Bryant Purvis, APRN

  • Women's Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1265678932
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN330666 Issued in GA
Practice address
101 W Mulberry Blvd Ste 100
Savannah, GA 31407-3507
Phone
(912) 350-5937
Fax
(912) 273-1033
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN2209982 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN2209982 FL
Women's Health Nurse Practitioner 363LW0102X RN330666 GA Primary

Addresses

Primary practice location

101 W Mulberry Blvd Ste 100
Savannah, GA 31407-3507

Mailing address

101 W Mulberry Blvd Ste 100
Savannah, GA 31407-3507
Phone (912) 350-5937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110224000356 FL Practitioner - Nurse Practitioner 3779764709 Reassigns benefits to 3 organizations
I20241023000211 GA Practitioner - Nurse Practitioner 3779764709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

101 W Mulberry Blvd
Suite 100
Savannah, GA 31407-3507
Phone (912) 352-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC CurrentSince Apr 4, 2023 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Jan 1, 2021 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Jul 30, 2024 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Apr 4, 2023 Accepting new patients
Memorial Family Practice Associates, LLC Past Accepting new patients

Locations

401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725

515 S Kings Ave
Ste 3100
Brandon, FL 33511
Phone (813) 681-9171

505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273

1513 W Busch Blvd
Tampa, FL 33612
Phone (813) 738-6683

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

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

101 W Mulberry Blvd
Ste 100
Savannah, GA 31407
Phone (912) 350-6000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1265678932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MULBERRY BLVD STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314073507",
            "telephone_number": "912-350-5937",
            "fax_number": "912-273-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MULBERRY BLVD STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314073507",
            "telephone_number": "912-350-5937",
            "fax_number": "912-273-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "SUSAN",
        "middle_name": "BRYANT",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN2209982",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN2209982",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN330666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.