Active NPI
Paul L Nave, M.D.
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1366436115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 037310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-1102392 | Other | GA | TAX ID # |
| G37310 | Other | SC | SC MEDICAID |
| 037310 | Other | GA | STATE LICENSE |
| 000554122A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912002993 | GA | Practitioner - Pediatric Medicine | 7517230618 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037310 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Savannah, GA
- NPI 1508850231
-
- Pediatrics Physician
- Savannah, GA
- NPI 1932252244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.