John D Rowlett, MD

Individual provider Active NPI Emergency Medicine Physician · Savannah, GA

NPI 1396789657 · NPPES record last updated Jan 15, 2016

Key facts

NPI
1396789657
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
035747 (GA)
Practice address
5 Executive Cir
Savannah, GA 31406-3345
Phone
(912) 355-2400
Fax
(912) 355-5324
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080703000234 GA Practitioner - Emergency Medicine
Practitioner - General Practice
3173695376 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Associates Emergency Medicine Current
since Jul 1, 2000
Accepting new patients
Advanced Pediatric Specialists LLC Current
since May 1, 2017
Accepting new patients

Locations

5629 Highway 21 S
Rincon, GA 31326
Phone (912) 295-2133

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 035747 GA
Emergency Medicine Physician 207P00000X 035747 GA Yes

Addresses

Primary practice location

5 Executive Cir
Savannah, GA 31406-3345

Mailing address

5 Executive Cir
Savannah, GA 31406-3345
Phone (912) 355-2400

Other identifiers

IdentifierTypeStateIssuer
000505458JMedicaidGA
000505458EMedicaidGA
000505458GMedicaidGA
000505458IMedicaidGA
10059604OtherGAAMERIGROUIP
G35747MedicaidSC
000505458FMedicaidGA

Other providers in Savannah, GA

All providers in Savannah, GA · Emergency Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.