Individual provider Active NPI

Susan J Mahany, M.D.

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1275697971
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
039860 Issued in GA
Practice address
5353 Reynolds St Ste 107
Savannah, GA 31405-6015
Phone
(912) 819-7630
Fax
(912) 819-5860
NPI assigned
Dec 20, 2006
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 039860 GA Primary

Addresses

Primary practice location

5353 Reynolds St Ste 107
Savannah, GA 31405-6015

Mailing address

5353 Reynolds St Ste 107
Savannah, GA 31405-6015
Phone (912) 819-7630

Other identifiers 1

IdentifierTypeStateIssuer
00670161AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000330 GA Practitioner - General Surgery 8022024173 Reassigns benefits to 1 organization
Practice locations: Savannah, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038960GAMDOrthopaedic Surgery Physician
039860GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJC Oncology Services - Georgia, LLC CurrentSince Feb 1, 2016 Accepting new patients

Locations

225 Candler Dr
Ste 100
Savannah, GA 31405
Phone (912) 352-1700

225 Candler Dr
Ste 301
Savannah, GA 31405
Phone (912) 354-8014

5353 Reynolds St
Ste 107
Savannah, GA 31405
Phone (912) 819-5750

5354 Reynolds St
Ste 420
Savannah, GA 31405
Phone (912) 355-1091

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1275697971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST STE 107",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-7630",
            "fax_number": "912-819-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST STE 107",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-7630",
            "fax_number": "912-819-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHANY",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "039860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00670161A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.