Savannah Primary Care Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAVANNAH PRIMARY CARE ASSOCIATES, LLC

Practice address

1107 E 66TH St
Savannah, GA 31404-5701

Phone

(912) 350-8404

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert A. Faile

Title

Vice President

Phone

(843) 856-7923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Savannah Primary Care Associates, LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1245165315
  NPPES parent name

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Lauren Blasi, DO

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1861953085
  Medicare reassignment Care Compare group NPD
• Sophia Elias Brinkley, MD

  • Family Medicine Physician
  • Sandy Springs, GA
  • NPI 1992264907
  Medicare reassignment Care Compare group NPD
• Mary I Cady, MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1427097385
  Medicare reassignment Care Compare group NPD
• Joe David Christian III, MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1104869189
  Medicare reassignment Care Compare group NPD
• Angela Deloach Chumley, FNP

  • Family Nurse Practitioner
  • Rincon, GA
  • NPI 1508802737
  Medicare reassignment Care Compare group NPD
• Nicole Momberg Cohen, MD MBA MSMS

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1689993081
  Medicare reassignment Care Compare group NPD
• Timothy Patrick Connelly Jr., MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1467616748
  Medicare reassignment Care Compare group NPD
• Elizabeth Florence Cornell, DO

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1013478122
  Medicare reassignment Care Compare group NPD
• Lora C. Denton, MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1669494126
  Medicare reassignment Care Compare group NPD
• Wilfredo Vergara Dolor, MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1609857127
  Medicare reassignment Care Compare group NPD
• Mary Carolyn Downing, M.D.

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1376639237
  Medicare reassignment Care Compare group NPD
• Thomas Christopher Garner, M.D.

  • Internal Medicine Physician
  • Richmond Hill, GA
  • NPI 1801185442
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1477066355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-5426",
            "fax_number": "866-831-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045701",
            "telephone_number": "912-350-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH PRIMARY CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-856-7923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Personal Care Services
• Savannah Plastic Surgicenter
• Savannah Plastic Surgicenter Inc
• Savannah Post Acute LLC
• Savannah Primary Care Associates, LLC
• Savannah Primary Care, LLC
• Savannah Psychotherapy Center, Inc.
• Savannah Radiation Cancer Care, PC
• Savannah Radiologists, PA
• Savannah Respiratory and Allergy Associates, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.