Organization Active NPI

Memorial Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • Savannah, GA
National Provider Identifier
1437530144
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEMORIAL CARDIOVASCULAR CONSULTANTS LLC
Practice address
4700 Waters Ave Ste 400
Savannah, GA 31404-6220
Phone
(912) 355-0070
Fax
(912) 355-3220
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Chadwick E. Huggins, M.D.
Title
Managing Partner
Phone
(912) 355-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4700 Waters Ave Ste 400
Savannah, GA 31404-6220

Mailing address

PO Box 117043
Atlanta, GA 30368-7043
Phone (912) 355-0070

Other identifiers 1

IdentifierTypeStateIssuer
003162743AMedicaidGA

National Provider Directory

National Provider Directory

Locations

230 Memorial Dr
Jesup, GA 31545
Phone (478) 427-8418

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1437530144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117043",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687043",
            "telephone_number": "912-355-0070",
            "fax_number": "912-355-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE STE 400",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-355-0070",
            "fax_number": "912-355-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CARDIOVASCULAR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "912-355-0070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003162743A",
            "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 Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.