Individual provider Active NPI

Savannah Warren

  • Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1336013994
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP275474 Issued in GA
Practice address
1805 Tift Ave N Ste D
Tifton, GA 31794-3579
Phone
(229) 382-5554
Fax
(229) 382-0530
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP275474 GA Primary

Addresses

Primary practice location

1805 Tift Ave N Ste D
Tifton, GA 31794-3579

Mailing address

1805 Tift Ave N Ste D
Tifton, GA 31794-3579
Phone (229) 382-5554

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
I20251028003865 GA Practitioner - Nurse Practitioner 4385133560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

804 E 16TH Ave
Cordele, GA 31015-1514

PO Box
Suite 5610
Cordele, GA 31010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP275474GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Oct 20, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Oct 20, 2025 Accepting new patients

Locations

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

1805 Tift Ave N
Ste D
Tifton, GA 31794
Phone (229) 382-5554

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1336013994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 TIFT AVE N STE D",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943579",
            "telephone_number": "229-382-5554",
            "fax_number": "229-382-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 TIFT AVE N STE D",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943579",
            "telephone_number": "229-382-5554",
            "fax_number": "229-382-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP275474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.