Individual provider Active NPI

Paul L Nave, M.D.

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1366436115
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
037310 Issued in GA
Practice address
4600 Waters Ave
Suite 100
Savannah, GA 31404-6702
Phone
(912) 355-2462
Fax
(912) 353-1836
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 037310 GA Primary

Addresses

Primary practice location

4600 Waters Ave
Suite 100
Savannah, GA 31404-6702

Mailing address

4600 Waters Ave
Suite 100
Savannah, GA 31404-6702
Phone (912) 355-2462

Other identifiers 4

IdentifierTypeStateIssuer
58-1102392OtherGATAX ID #
G37310OtherSCSC MEDICAID
037310OtherGASTATE LICENSE
000554122AMedicaidGA

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
I20170912002993 GA Practitioner - Pediatric Medicine 7517230618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037310GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Savannah, P.C. Pediatrics Past Accepting new patients
Pediatric Associates of Savannah, P.C. Pediatrics Past Accepting new patients

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366436115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WATERS AVE",
            "address_2": "SUITE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046702",
            "telephone_number": "912-355-2462",
            "fax_number": "912-353-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 WATERS AVE",
            "address_2": "SUITE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046702",
            "telephone_number": "912-355-2462",
            "fax_number": "912-353-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVE",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "037310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "58-1102392",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "G37310",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "037310",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000554122A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.