NPIMap

Individual provider Active NPI

Adam Novack, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1265699433
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
066231 Issued in GA
Practice address
1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928
Phone
(912) 527-5100
Fax
(912) 527-5149
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 066231 GA Primary

Addresses

Primary practice location

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928

Mailing address

PO Box 15849
Savannah, GA 31416-2549
Phone (912) 303-3552

Other identifiers 1

IdentifierTypeStateIssuer
003110869AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000347 GA Practitioner - Family Practice 6800064247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians
Effingham Rehab Services, LLCGroup PAC ID 5597752063, 143 clinicians

Practice addresses (Care Compare)

10055 Ford Ave
Richmond Hill, GA 31324-3974
Phone (912) 527-5352

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

1326 Eisenhower Dr
Savannah, GA 31406-3928

22 W Oglethorpe Ave
Savannah, GA 31401-3702
Phone (912) 443-1400

6510 Seawright Dr
Savannah, GA 31406-2752
Phone (912) 691-4100

Hospital & facility affiliations

  • St Joseph'S/Candler Home Healthcare, Inc Home health agency, Savannah, GA, CCN 117143
  • Enhabit Home Health Home health agency, Pooler, GA, CCN 117150
  • Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Encompass Health Rehab Hospital of Savannah Inpatient rehabilitation facility, Savannah, GA, CCN 113033
  • Oaks Health Ctr at the Marshes of Skidaway Island Nursing home, Savannah, GA, CCN 115715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: adamnovack@scmgllc.allscriptsdirect.net
  • Direct secure messaging: adam.novack.1@8042.direct.athenahealth.com

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 8

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1265699433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15849",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162549",
            "telephone_number": "912-303-3552",
            "fax_number": "912-303-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-527-5100",
            "fax_number": "912-527-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "066231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110869A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.