Individual provider Active NPI

Savannah Ann Jack, AU.D.

  • Audiologist
  • Denison, TX
National Provider Identifier
1568006419
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
5012 US-75 Suite 230
Denison, TX 75020
Phone
(469) 252-3510
NPI assigned
Nov 4, 2019
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU
Audiologist 231H00000X TX Primary

Addresses

Primary practice location

5012 US-75 Suite 230
Denison, TX 75020

Mailing address

5012 US-75 Suite 230
Denison, TX 75020
Phone (469) 252-3510

Other names 1

  • Savannah Ann Covert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200420001625 TX Practitioner - Qualified Audiologist 9234569088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xyr Health PLLCGroup PAC ID 9335503341, 4 clinicians

Practice addresses (Care Compare)

5012 US Hwy 75
Suite 230
Denison, TX 75020-4634
Phone (469) 252-3510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81062TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Xyr Health PLLC CurrentSince Dec 29, 2023 Accepting new patients

Locations

5012 US Highway 75
Ste 230
Denison, TX 75020
Phone (469) 252-3510

4441 W Airport Fwy
Ste 245
Irving, TX 75062
Phone (469) 252-3510

Organizations & group practices 1

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1568006419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 US-75 SUITE 230",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "469-252-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 US-75 SUITE 230",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "469-252-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "SAVANNAH",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2024-05-31",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Greenville",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Greenville",
            "address_1": "4000 Medical Pkwy",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754017854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "COVERT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.