Joseph P. Liebsack II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004192 Issued in GA

Practice address

7001 Hodgson Memorial Dr Ste 1
Savannah, GA 31406-2549

Phone

(912) 298-6646

Fax

(912) 298-6622

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: josephliebsack@bcgmg.allscriptsdirect.net

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Candler Medical Group, Inc. - Rendon

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1538197132
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1336160233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60969",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314200969",
            "telephone_number": "912-691-5711",
            "fax_number": "678-623-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HODGSON MEMORIAL DR STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062549",
            "telephone_number": "912-298-6646",
            "fax_number": "912-298-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBSACK",
        "first_name": "JOSEPH",
        "middle_name": "P.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaterra Lewis
• Akeia Lexley
• Quinne Phillips Leyden, PSY.D.
• Amiran Ryan Liberty
• Robert Michael Liebman, M.D.
• Kinhtu Lien, MD
• Life in Perspective, LLC
• Life Line Home Care Inc
• Lifespan Rehabilitation and Wellness, LLC
• Lifestyle and Wellness Institute LLC

• Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.