Individual provider Active NPI

Savannah N. Heesacker, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1285325274
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11032152 Issued in FL
Practice address
841 Prudential Dr FL 10
Jacksonville, FL 32207-8329
Phone
(904) 398-5404
Fax
(904) 391-5545
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11032152 FL Primary

Addresses

Primary practice location

841 Prudential Dr FL 10
Jacksonville, FL 32207-8329

Mailing address

PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 202-2092

Other practice location 1

836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340
Phone (904) 388-6518

Other names 1

  • Savannah N. Burgess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241203000126 FL Practitioner - Nurse Practitioner 6103351911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyerly Baptist IncGroup PAC ID 9830112226, 72 clinicians
Baptist Neurology IncGroup PAC ID 0345366704, 47 clinicians

Practice addresses (Care Compare)

1370 13TH Ave S
Jacksonville, FL 32250-3206
Phone (904) 388-6518

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone (904) 398-5404

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Neurology Inc CurrentSince Jan 5, 2025 Accepting new patients
Lyerly Baptist Inc Nurse Practitioner CurrentSince Mar 27, 2025 Accepting new patients
Baptist Neurology Inc CurrentSince Jan 5, 2025 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner Past Accepting new patients

Locations

841 Prudential Dr
Fl 10
Jacksonville, FL 32207
Phone (904) 398-5404

841 Prudential Dr
Ste 10
Jacksonville, FL 32207

836 Prudential Dr
Ste 1400
Jacksonville, FL 32207
Phone (904) 396-0000

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

Interoperability endpoints

  • Direct secure messaging: sburgess175117@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 4

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 1

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1285325274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746649",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746649",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR FL 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-398-5404",
            "fax_number": "904-391-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Prudential Dr Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078340",
            "country_code": "US",
            "telephone_number": "904-388-6518",
            "fax_number": "904-384-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEESACKER",
        "first_name": "SAVANNAH",
        "middle_name": "N.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11032152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "BURGESS",
            "middle_name": "N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.