Individual provider Active NPI

Christina M Kelly, MD

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1306850425
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
076384 Issued in GA
Practice address
1107 E 66TH St
Savannah, GA 31404
Phone
(912) 350-8404
Fax
(912) 350-8067
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 076384 GA Primary

Addresses

Primary practice location

1107 E 66TH St
Savannah, GA 31404

Mailing address

1107 E 66TH St
Savannah, GA 31404-5701
Phone (912) 350-8404

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidGA

Other names 1

  • Christina Sinar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060908000504 WA Practitioner - Family Practice 6709880578 Reassigns benefits to 1 organization
I20160810002615 GA Practitioner - Family Practice 6709880578 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076384GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J C Lewis Primary Health Care Center CurrentSince Sep 19, 2017 Accepting new patients
J.C. Lewis Primary Healthcare Center, Inc CurrentSince Sep 19, 2017 Accepting new patients
MPPG, Inc. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 1, 2006 Accepting new patients
Multicare Health System Family Medicine CurrentSince Aug 1, 2006 Accepting new patients

Locations

2414 Bull St
Savannah, GA 31401
Phone (912) 495-8887

4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905

125 Fahm St
Savannah, GA 31401
Phone (912) 495-8887

1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404

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

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1306850425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045701",
            "telephone_number": "912-350-8404",
            "fax_number": "912-350-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-8404",
            "fax_number": "912-350-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SINAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.