Organization Active NPI

Savannah Pediatrics, P.C.

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1558429332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAVANNAH PEDIATRICS, P.C.
Practice address
5102 Paulsen St
Savannah, GA 31405-4601
Phone
(912) 354-5814
Fax
(912) 691-0923
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bernard M Portman, MD
Title
Senior Partner
Phone
(912) 354-5814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

5102 Paulsen St
Savannah, GA 31405-4601

Mailing address

5102 Paulsen St
Savannah, GA 31405-4601
Phone (912) 354-5814

National Provider Directory

National Provider Directory

Locations

1000 Towne Center Blvd
Ste 301
Pooler, GA 31322
Phone (912) 644-4900

5102 Paulsen St
Savannah, GA 31405
Phone (912) 349-4227

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558429332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-354-5814",
            "fax_number": "912-691-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-354-5814",
            "fax_number": "912-691-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTMAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "912-354-5814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; 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.