Amethyst Wilder, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

078341 Issued in GA

Practice address

5 Mall Anx
Savannah, GA 31406-4738

Phone

(912) 721-8882

Fax

(803) 281-8882

NPI assigned

Jan 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Mercer University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Savannah Primary Care Associates LLCGroup PAC ID 4688935760, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Pooler, GA, CCN 117150
• Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

76.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Savannah Primary Care Associates, LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1477066355

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751

  Multi-Specialty

  Medicare reassignment NPD
• Southland Bainbridge Hospitalist Group, LLC

  • Hospitalist Physician
  • Bainbridge, GA
  • NPI 1356735336

  Multi-Specialty

  Medicare reassignment NPD
• Coastal Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1063282937
  NPD
• Coastal Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
  • NPI 1013715325
  NPD (past)
• Homestead Hospice of Augusta, LLC

  • Community Based Hospice Care Agency
  • Augusta, GA
  • NPI 1356683882

  Family Medicine

  NPD (past)
• Savannah Health Services, LLC

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1053824292
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caresouth HHA Holdings of South Carolina, LLC

  • Home Health Agency
  • Pooler, GA
  • NPI 1649796582
  Care Compare affiliation
• Savannah Health Services, LLC

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1053824292
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1396168753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045701",
            "telephone_number": "912-350-8404",
            "fax_number": "912-350-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "912-721-8882",
            "fax_number": "803-281-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "31313",
            "country_code": "US",
            "telephone_number": "912-876-5644",
            "fax_number": "912-877-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "586 Islands Highway",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "31313",
            "country_code": "US",
            "telephone_number": "912-396-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "31313",
            "country_code": "US",
            "telephone_number": "912-876-5644",
            "fax_number": "912-877-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134354",
            "country_code": "US",
            "telephone_number": "912-876-0250",
            "fax_number": "912-369-2029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 E 66th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-8404",
            "fax_number": "912-350-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "AMETHYST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "078341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis F. Wiggins, M.D.
• Lakisha Shontell Wilborn, OTR/L
• Megan Youngblood Wilbur
• Ashlee Wilcox, MS, CCC-SLP
• Nakiah Janae Wilcox, FNP
• Ashley C Wilder
• Jessica Marie Wilder, M.D.
• Samuel Garrett Wilder, MD
• Deanna M Wildes, RN, BSN
• Tyler John Wildes, MD, PHD

• Family Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.