NPIMap

Individual provider Active NPI

Savannah Parker Ward, FNP

  • Family Nurse Practitioner
  • Supply, NC
National Provider Identifier
1336856285
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017161 Issued in NC
Practice address
2298 Ocean Hwy W
Supply, NC 28462-4024
Phone
(910) 755-3682
NPI assigned
Oct 31, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5017161 NC Primary

Addresses

Primary practice location

2298 Ocean Hwy W
Supply, NC 28462-4024

Mailing address

125 Country Club Dr
Shallotte, NC 28470-4416
Phone (910) 641-2478

Other practice location 1

302 Liberty St
Whiteville, NC 28472-3714
Phone (910) 914-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227002923 NC Practitioner - Nurse Practitioner 3577936236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina ENT DO PAGroup PAC ID 8325082498, 6 clinicians

Practice addresses (Care Compare)

2298 Ocean Hwy W
Supply, NC 28462-4024
Phone (910) 755-3682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina ENT, DO, PA CurrentSince Jan 1, 2023 Accepting new patients
Coastal Carolina ENT DO PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

2298 Ocean Hwy W
Supply, NC 28462
Phone (910) 755-2428

302 Liberty St
Whiteville, NC 28472
Phone (910) 642-3675

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

Hospital & facility affiliations 9

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1336856285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COUNTRY CLUB DR",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704416",
            "telephone_number": "910-641-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624024",
            "telephone_number": "910-755-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723714",
            "country_code": "US",
            "telephone_number": "910-914-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "SAVANNAH",
        "middle_name": "PARKER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.