Individual provider Active NPI

Sandra Kay Bohnstengel, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1356410112
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038692 Issued in GA
Practice address
340 Eisenhower Drive
Ste.610
Savannah, GA 31406-5828
Phone
(912) 354-4044
Fax
(912) 354-4009
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 038692 GA Primary

Addresses

Primary practice location

340 Eisenhower Drive
Ste.610
Savannah, GA 31406-5828

Mailing address

340 Eisenhower Dr
Ste.610
Savannah, GA 31406-1600
Phone (912) 354-4044

Other practice location 1

136 SW Broad St
Jesup, GA 31545-1100
Phone (912) 427-3300

Other identifiers 1

IdentifierTypeStateIssuer
1356410112OtherGAFAMILY MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040316000658 GA Practitioner - Family Practice 1850281742 Reassigns benefits to 3 organizations
I20231110000052 SC Practitioner - Family Practice 1850281742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Health Care CenterGroup PAC ID 3072407808, 4 clinicians

Practice addresses (Care Compare)

340 Eisenhower Dr
Ste. 610
Savannah, GA 31406-1612
Phone (912) 354-4044

391 S 1St St
Jesup, GA 31545-1132
Phone (912) 427-8433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16101SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Live Life Now Health Group PA Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
First Choice Wellness and Physical Medicine CurrentSince Jan 20, 2003 Accepting new patients

Locations

1055 Howell Mill Rd NW
Ste 800
Atlanta, GA 30318
Phone (404) 692-6913

136 SW Broad St
Jesup, GA 31545
Phone (912) 427-3300

340 Eisenhower Dr
Ste 610
Savannah, GA 31406
Phone (912) 354-4044

132 Stephenson Ave
Ste 102
Savannah, GA 31405
Phone (912) 354-4044

350 7th Ave
Rm 600
New York, NY 10001

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

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.

Hospital & facility affiliations 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356410112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "address_2": "STE.610",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-354-4044",
            "fax_number": "912-354-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DRIVE",
            "address_2": "STE.610",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065828",
            "telephone_number": "912-354-4044",
            "fax_number": "912-354-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 SW Broad St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315451100",
            "country_code": "US",
            "telephone_number": "912-427-3300",
            "fax_number": "912-427-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHNSTENGEL",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "1356410112",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.