Individual provider Active NPI

Michael John Babcock, MD

  • Cardiovascular Disease Physician
  • Savannah, GA
National Provider Identifier
1316129661
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
72228 Issued in GA
Practice address
11700 Mercy Blvd
Plaza D #6
Savannah, GA 31419
Phone
(912) 927-3434
Fax
(912) 927-5016
NPI assigned
Nov 28, 2007
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 072228 GA
Interventional Cardiology Physician 207RI0011X 072228 GA
Cardiovascular Disease Physician 207RC0000X 72228 GA Primary

Addresses

Primary practice location

11700 Mercy Blvd
Plaza D #6
Savannah, GA 31419

Mailing address

836 E. 65TH Street
Suite 20
Savannah, GA 31405
Phone (912) 819-7878

Other identifiers 2

IdentifierTypeStateIssuer
003148133AMedicaidGA
003148133BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20140910001256 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022247352 Reassigns benefits to 2 organizations
I20190305001601 SC Practitioner - Cardiovascular Disease (Cardiology) 8022247352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's Cardiology Group LLCGroup PAC ID 3274770227, 17 clinicians

Practice addresses (Care Compare)

10 Oak Forest Rd
Suite B
Bluffton, SC 29910-4974
Phone (912) 927-3434

11700 Mercy Blvd
Savannah, GA 31419-1753
Phone (912) 927-3434

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (843) 379-0220

400 Cedar St
Metter, GA 30439-3338
Phone (912) 927-3434

5353 Reynolds St
Savannah, GA 31405-6015
Phone (843) 379-0220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72228GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Hospital of Savannah LLC CurrentSince Nov 9, 2015 Accepting new patients
Landmark Hospital of Savannah LLC CurrentSince Nov 9, 2015 Accepting new patients
Candler ENT Practice, LLC Past Accepting new patients

Locations

800 E 68th St
Savannah, GA 31405
Phone 9122329700 ext. 103

3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026

Interoperability endpoints

  • Direct secure messaging: michaelbabcock@cas.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1316129661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 20",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD",
            "address_2": "PLAZA D #6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-927-3434",
            "fax_number": "912-927-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "072228",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "072228",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "72228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148133A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148133B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.