Individual provider Active NPI

Whitney Taylor Krawczyk, FNP-BC

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1477060390
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228308 Issued in GA
Practice address
4849 Paulsen St Ste 102
Savannah, GA 31405-4424
Phone
(912) 600-8800
Fax
(912) 662-1817
NPI assigned
Dec 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 228308 GA Primary

Addresses

Primary practice location

4849 Paulsen St Ste 102
Savannah, GA 31405-4424

Mailing address

2612 Dogwood Ave Apt F23
Savannah, GA 31404-3277

Other practice location 1

12825 White Bluff Rd
Savannah, GA 31419-2993
Phone (912) 927-9416

Other practice location 2

6 Holmes Ct Ste 100
Pooler, GA 31322-4801
Phone (912) 254-4401

Other names 1

  • Whitney Claire Taylor Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717000809 GA Practitioner - Nurse Practitioner 4587911987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

635 Stephenson Ave
Savannah, GA 31405-5970
Phone (912) 352-2921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
228308GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Oct 30, 2019 Accepting new patients
Seed Wellness Current Accepting new patients

Locations

6 Holmes Ct
Ste 100
Pooler, GA 31322
Phone (912) 254-4401

635 Stephenson Ave
Savannah, GA 31405
Phone (912) 352-2921

4849 Paulsen St
Ste 209
Savannah, GA 31405
Phone (912) 600-8800

4849 Paulsen St
Ste 102
Savannah, GA 31405
Phone (912) 600-8800

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.whitneykrawczyk@143219.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1477060390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 DOGWOOD AVE APT F23",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054424",
            "telephone_number": "912-600-8800",
            "fax_number": "912-662-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12825 White Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314192993",
            "country_code": "US",
            "telephone_number": "912-927-9416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Holmes Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224801",
            "country_code": "US",
            "telephone_number": "912-254-4401",
            "fax_number": "912-330-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "WHITNEY",
        "middle_name": "TAYLOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "228308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "TAYLOR",
            "middle_name": "CLAIRE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.