Active NPI
Ryan C Wanamaker, MD
- Gastroenterology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 057335
- Practice address
- 1139 Lexington Ave
Savannah, GA 31404-5502 - Phone
- (912) 303-4200
- Fax
- (912) 790-2701
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 057335 | GA | Primary |
Addresses
Primary practice location
1139 Lexington Ave
Savannah, GA 31404-5502
Mailing address
1139 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 303-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10BDHKJ | Other | GA | MEDICARE PTAN |
| 733790415A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Towne Ctr Blvd
Suite 701
Pooler, GA 31322-4063
Phone (912) 303-4200
1139 Lexington Ave
Suite a
Savannah, GA 31404-5502
Phone (913) 203-4200
2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8633
Phone (770) 612-8165
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075
Hospital & facility affiliations
- Candler Hospital
- St Joseph'S Hospital - Savannah
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Wayne Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 70 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 92 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
| Endoscopy Center LLC | Past | Accepting new patients |
Locations
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
1000 Towne Center Blvd
Ste 701
Pooler, GA 31322
Phone (912) 303-4200
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1139 Lexington Ave
Ste A
Savannah, GA 31404
Phone (912) 303-4200
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
Interoperability endpoints
- ryan.wanamaker@ud.eclinicaldirectplus.com
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
-
- Endoscopy Clinic/Center
- Savannah, GA
- NPI 1659384329
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1326090358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 LEXINGTON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314045502",
"telephone_number": "912-303-4200",
"fax_number": "912-790-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 LEXINGTON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314045502",
"telephone_number": "912-303-4200",
"fax_number": "912-790-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANAMAKER",
"first_name": "RYAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "057335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "10BDHKJ",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "733790415A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.