Active NPI
Alexis Mary Gage, MD
- Surgical Critical Care Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 068411
- Practice address
- 4750 Waters Ave
Suite 202
Savannah, GA 31404-6200 - Phone
- (912) 350-7412
- Fax
- (912) 350-7297
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MD60168479 | WA | |
| Surgical Critical Care Physician | 2086S0102X | 068411 | GA | Primary |
| Surgery Physician | 208600000X | 068411 | GA |
Addresses
Primary practice location
4750 Waters Ave
Suite 202
Savannah, GA 31404-6200
Mailing address
4750 Waters Ave
Suite 202
Savannah, GA 31404-6200
Phone (912) 350-7412
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01087645 | Other | GA | RAILROAD MEDICARE |
| 003126094A | Medicaid | GA | |
| GA1360 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agage49554@epicsav.hcadirect.net |
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
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4750 Waters Ave
Suite 202
Savannah, GA 31404-6278
Phone (912) 350-7020
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Novant Health Hilton Head Medical Center
- Coastal Carolina Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60168479 | WA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPPG, Inc. | Surgery | Current | Accepting new patients |
| Savannah Multispecialty Associates, LLC | Surgery | Current | Accepting new patients |
| Savannah Health Services, LLC | Past | Accepting new patients |
Locations
4750 Waters Ave
Ste 202
Savannah, GA 31404
Phone 9123505970 ext. 5994
4750 Waters Ave
Ste 452
Savannah, GA 31404
Phone (912) 350-5909
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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 and National Provider Directory roles.
-
- Trauma Surgery Physician
- Savannah, GA
- NPI 1528571320
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1376839480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 WATERS AVE",
"address_2": "SUITE 202",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046200",
"telephone_number": "912-350-7412",
"fax_number": "912-350-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 WATERS AVE",
"address_2": "SUITE 202",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046200",
"telephone_number": "912-350-7412",
"fax_number": "912-350-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "ALEXIS",
"middle_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WA",
"license": "MD60168479",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "GA",
"license": "068411",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "068411",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01087645",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003126094A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GA1360",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agage49554@epicsav.hcadirect.net",
"affiliation": "N",
"address_1": "4750 Waters Ave",
"address_2": "SUITE 202",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314046200",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.