Individual provider Active NPI

Alyssa Trenaman Hunt, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1306476965
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9688 Issued in GA
Practice address
5102 Paulsen St BLDG 4
Savannah, GA 31405-4614
Phone
(912) 356-3604
Fax
(912) 356-5801
NPI assigned
Jan 23, 2020
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9688 GA Primary

Addresses

Primary practice location

5102 Paulsen St BLDG 4
Savannah, GA 31405-4614

Mailing address

5102 Paulsen St BLDG 4
Savannah, GA 31405-4614
Phone (912) 356-3604

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200529000771 GA Practitioner - Physician Assistant 4981033537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campen Dermatology, LLCGroup PAC ID 2163550831, 2 clinicians

Practice addresses (Care Compare)

5102 Paulsen St
BLDG 4
Savannah, GA 31405-4614
Phone (912) 356-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9688GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Campen Eye Care LLC PastSince Mar 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: atrenaman@campenmd.emadirect.md

Organizations & group practices 2

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1306476965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054614",
            "telephone_number": "912-356-3604",
            "fax_number": "912-356-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054614",
            "telephone_number": "912-356-3604",
            "fax_number": "912-356-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "ALYSSA",
        "middle_name": "TRENAMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.