Individual provider Active NPI

Julia Spruill-Mote, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1497377097
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9799 Issued in GA
Practice address
4700 Waters Ave Ste 201
Savannah, GA 31404-6220
Phone
(912) 692-2000
Fax
(912) 692-2100
NPI assigned
May 18, 2020
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9799 GA Primary

Addresses

Primary practice location

4700 Waters Ave Ste 201
Savannah, GA 31404-6220

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other practice location 1

1000 Towne Center Blvd Ste 704
Pooler, GA 31322-4063
Phone (912) 692-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jmote@summitcancercare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200617001085 GA Practitioner - Physician Assistant 2062834294 Reassigns benefits to 3 organizations
I20221123001203 SC Practitioner - Physician Assistant 2062834294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

1000 Towne Ctr Blvd
Suite 704
Pooler, GA 31322-4063
Phone (912) 692-2000

1111 Glynco Pkwy
Suite 35
Brunswick, GA 31525-7930
Phone (912) 304-7013

16 Okatie Ctr Blvd S
Suite 2 201
Okatie, SC 29909-7533
Phone (912) 692-2000

4700 Waters Ave
Suite 201
Savannah, GA 31404-6220
Phone (912) 692-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9799GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Candler Medical Oncology Practice, LLC CurrentSince Jun 4, 2020 Accepting new patients
American Oncology Partners, P.a. PastSince Oct 23, 2022 Accepting new patients

Locations

225 Candler Dr
Ste 300
Savannah, GA 31405

4700 Waters Ave
Ste 201
Savannah, GA 31404
Phone (912) 692-2000

5400 Sutlive St
Savannah, GA 31405
Phone (912) 201-3825

1497 Fair Rd
Ste 311
Statesboro, GA 30458
Phone (340) 643-2227

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1497377097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE STE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-692-2000",
            "fax_number": "912-692-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Towne Center Blvd Ste 704",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224063",
            "country_code": "US",
            "telephone_number": "912-692-2000",
            "fax_number": "912-692-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRUILL-MOTE",
        "first_name": "JULIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jmote@summitcancercare.com",
            "affiliation": "N",
            "address_1": "5400 Sutlive St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314054721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.