Individual provider Active NPI

Ronald Bradley Sites, MD

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1316059090
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
57325 Issued in GA
Practice address
515 E 63Rd St
Savannah, GA 31405-4300
Phone
(912) 352-2921
Fax
(912) 352-1038
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57325 GA Primary

Addresses

Primary practice location

515 E 63Rd St
Savannah, GA 31405-4300

Mailing address

409 E 54TH St
Savannah, GA 31405-3513

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
I20070306000677 GA Practitioner - Psychiatry 8820191117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

635 Stephenson Ave
Savannah, GA 31405-5970
Phone (912) 352-2921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57325GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Psychiatry CurrentSince Aug 1, 2019 Accepting new patients

Locations

5635 Peachtree Pkwy
Ste 180
Peachtree Corners, GA 30092
Phone (470) 781-9696

6 Holmes Ct
Ste 100
Pooler, GA 31322
Phone (912) 254-4401

11111 Houze Rd
Ste 225
Roswell, GA 30076
Phone (770) 436-9700

635 Stephenson Ave
Savannah, GA 31405
Phone (912) 352-2921

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

100 Stoneforest Dr
Ste 230
Woodstock, GA 30189
Phone (470) 552-8470

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.ronaldsites@124220.advancedmd-direct.com
  • Direct secure messaging: lifestancehealth.ronaldsites@143219.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316059090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 54TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 63RD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054300",
            "telephone_number": "912-352-2921",
            "fax_number": "912-352-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITES",
        "first_name": "RONALD",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "57325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.