Individual provider Active NPI

William Scott Kirkpatrick, MD

  • Anesthesiology Physician
  • Savannah, GA
National Provider Identifier
1285741918
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
78113 Issued in GA
Practice address
5353 Reynolds St
Savannah, GA 31405-6015
Phone
(828) 429-1130
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 009500636 NC
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 009500636 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 009500636 NC
Pediatric Anesthesiology Physician 207LP3000X 009500636 NC
Anesthesiology Physician 207L00000X 78113 GA Primary

Addresses

Primary practice location

5353 Reynolds St
Savannah, GA 31405-6015

Mailing address

40 Romney PL
Savannah, GA 31406-7537
Phone (828) 429-1130

Other identifiers 8

IdentifierTypeStateIssuer
1194833855OtherNPI - RUTHERFORD ANESTH
N00636MedicaidSC
8949040MedicaidNC
P00716053OtherMEDICARE RAILROAD
90034OtherMEDCOST
5781203OtherAETNA
1036209OtherAETNA
49040OtherNCBLUE SHIELD

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
I20210304000353 GA Practitioner - Anesthesiology 5991873127 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

1139 Lexington Ave
Suite B
Savannah, GA 31404-5502
Phone (912) 303-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009500636NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Consultants PLLC Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince May 19, 2022 Accepting new patients
Anesthesia Consultants of Savannah, PC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Radius Anesthesia of Georgia LLC Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Jul 28, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince May 7, 2022 Accepting new patients
Rutherford Anesthesiology Associates, LLP Anesthesiology Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

13040 Abercorn St
Ste 2
Savannah, GA 31419
Phone (912) 920-1998

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

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

1139 Lexington Ave
Ste B
Savannah, GA 31404
Phone (912) 303-4200

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 7

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1285741918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROMNEY PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314067537",
            "telephone_number": "828-429-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "828-429-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "009500636",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NC",
            "license": "009500636",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "009500636",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NC",
            "license": "009500636",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "78113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - RUTHERFORD ANESTH",
            "identifier": "1194833855",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00636",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949040",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00716053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "90034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5781203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1036209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "49040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.