Individual provider Active NPI

Arnold Fernandez Negrin, MD

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1336186311
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
031544 Issued in GA
Practice address
624 Stephenson Ave
Savannah, GA 31405-5974
Phone
(912) 351-0325
Fax
(912) 351-9986
NPI assigned
May 31, 2006
Last updated
May 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 031544 GA Primary

Addresses

Primary practice location

624 Stephenson Ave
Savannah, GA 31405-5974

Mailing address

624 Stephenson Ave
Savannah, GA 31405-5974
Phone (912) 351-0325

Other identifiers 2

IdentifierTypeStateIssuer
000719903AMedicaidGA
18345MedicaidSC

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
I20100420000690 GA Practitioner - Psychiatry 9830226042 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031544GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Savannah, LLC CurrentSince Dec 15, 2012 Accepting new patients
Uhs of Savannah LLC CurrentSince Dec 15, 2012 Accepting new patients
Arnold F Negrin, MD Psychiatry Past Accepting new patients

Locations

1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1336186311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055974",
            "telephone_number": "912-351-0325",
            "fax_number": "912-351-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055974",
            "telephone_number": "912-351-0325",
            "fax_number": "912-351-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRIN",
        "first_name": "ARNOLD",
        "middle_name": "FERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "031544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000719903A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18345",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.