Active NPI
Robert M. Gantt, MD
- Anesthesiology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 025158
- Practice address
- 1139 Lexington Ave
Savannah, GA 31404-5502 - Phone
- (912) 429-9020
- Fax
- (912) 352-0793
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 025158 | GA | Primary |
Addresses
Primary practice location
1139 Lexington Ave
Savannah, GA 31404-5502
Mailing address
1139 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 429-9020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00388319 | Other | GA | RAILROAD MEDICARE |
| 766229953A | 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 |
|---|---|---|---|---|
| I20070416000219 | GA | Practitioner - Anesthesiology | 3870407984 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025158 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Anesthesia of Georgia LLC | Anesthesiology | Current | Accepting new patients |
| Coastal Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Georgia Anesthesiology Consultants, PLLC | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
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.
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
Anesthesiology, GA
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Anesthesiology, GA
-
- Specialist
- Covington, GA
- NPI 1861445322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1407888043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 LEXINGTON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314045502",
"telephone_number": "912-429-9020",
"fax_number": "912-352-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 LEXINGTON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314045502",
"telephone_number": "912-429-9020",
"fax_number": "912-352-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "ROBERT",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "025158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00388319",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766229953A",
"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 May 10, 2017; 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.