Active NPI
Angela Marie Fagiana, M.D.
- Neonatal-Perinatal Medicine Physician
- Savannah, GA
National Provider Identifier
1477750818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 85694
- Practice address
- 4750 Waters Ave Ste 206
Savannah, GA 31404-6278 - Phone
- (702) 779-9990
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 46054 | TN | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | S0155 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 85694 | GA | Primary |
Addresses
Primary practice location
4750 Waters Ave Ste 206
Savannah, GA 31404-6278
Mailing address
4750 Waters Ave Ste 206
Savannah, GA 31404-6278
Phone (912) 350-5915
Other practice location 1
18th Medical Group
Unit 5142
Apo, AP 96368
Phone 01181989717555
Other practice location 2
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone (210) 541-8281 ext. 221
Other practice location 3
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-7084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85694 | GA | MD | Neonatal-Perinatal Medicine Physician |
| 46054 | TN | MD | Neonatal-Perinatal Medicine Physician |
| S0155 | TX | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Health Services, LLC | Past | Accepting new patients | |
| Piedmont Athens Regional Medical Center, Inc. | Past | Accepting new patients | |
| Magella Medical Associates of Georgia PC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1356448062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1477750818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 WATERS AVE STE 206",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046278",
"telephone_number": "912-350-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 WATERS AVE STE 206",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046278",
"telephone_number": "702-779-9990"
}
],
"practiceLocations": [
{
"address_1": "18th Medical Group",
"address_2": "Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96368",
"country_code": "US",
"telephone_number": "01181989717555",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "5430 Fredericksburg Rd Ste 508",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293561",
"country_code": "US",
"telephone_number": "210-541-8281 x221",
"fax_number": "210-541-9123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-7084",
"fax_number": "210-541-9123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAGIANA",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TN",
"license": "46054",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "S0155",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "85694",
"primary": true
}
],
"identifiers": [],
"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 Apr 30, 2021; 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.