Individual provider Active NPI

David N Palmer, MD

  • Orthopaedic Surgery Physician
  • Savannah, GA
National Provider Identifier
1568435162
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
044980 Issued in GA
Practice address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone
(912) 644-5300
Fax
(912) 644-5260
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD20481 SC
Orthopaedic Surgery Physician 207X00000X 044980 GA Primary

Addresses

Primary practice location

210 E Derenne Ave
Savannah, GA 31405-6736

Mailing address

210 E Derenne Avenue
Savannah, GA 31405
Phone (912) 644-5300

Other practice location 1

602 E Long St
Claxton, GA 30417-5914
Phone (912) 739-3275

Other practice location 2

8 N Williams St
Metter, GA 30439-4547
Phone (912) 685-3550

Other practice location 3

810 Towne Park Dr
Rincon, GA 31326-5171
Phone (912) 826-2533

Other practice location 4

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

Other practice location 5

25 Hospital Center Blvd Ste 100
Hilton Head, SC 29926-2735
Phone (800) 827-6536

Other practice location 6

101 W Mulberry Blvd, Ste 140
Pooler, GA 31322
Phone (912) 748-5111

Other practice location 7

166 Memorial Dr
Jesup, GA 31545-0101
Phone (912) 427-0800

Other practice location 8

16915 Highway 67 Ste A
Statesboro, GA 30458-5819
Phone (912) 681-2500

Other practice location 9

60 Exchange St Ste B1
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

Other identifiers 2

IdentifierTypeStateIssuer
000795814KMedicaidSC
00795814AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000242 GA Practitioner - Orthopedic Surgery 0143318154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Effingham Health System Hospital, Springfield, GA, CCN 111306
  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20481SCMDOrthopaedic Surgery Physician
20481SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC Current Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Tattnall Hospital Company LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery PastSince Oct 6, 2019 Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients

Locations

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111

8 N Williams St
Metter, GA 30439
Phone (912) 685-3550

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

60 Exchange St
Ste 1
Richmond Hill, GA 31324
Phone (912) 756-2279

60 Exchange St
Ste B1
Richmond Hill, GA 31324
Phone (912) 756-2273

810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533

810 Towne Park Dr
Rincon, GA 31326
Phone (912) 826-2533

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

101 W Mulberry Blvd
Ste 140
Savannah, GA 31407
Phone (912) 348-9500

16915 Highway 67
#A
Statesboro, GA 30458
Phone (912) 681-2500

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

25 Hospital Ctr
Ste 100
Hilton Head Island, SC 29926
Phone (843) 681-9489

Interoperability endpoints

  • Direct secure messaging: david.palmer.1@16403.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1568435162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175914",
            "country_code": "US",
            "telephone_number": "912-739-3275",
            "fax_number": "912-439-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 N Williams St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394547",
            "country_code": "US",
            "telephone_number": "912-685-3550",
            "fax_number": "912-685-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Towne Park Dr",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265171",
            "country_code": "US",
            "telephone_number": "912-826-2533",
            "fax_number": "912-826-2572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Pinellas Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "843-705-9401",
            "fax_number": "843-705-9402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299262735",
            "country_code": "US",
            "telephone_number": "800-827-6536",
            "fax_number": "912-644-5241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Mulberry Blvd, Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "31322",
            "country_code": "US",
            "telephone_number": "912-748-5111",
            "fax_number": "912-748-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450101",
            "country_code": "US",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16915 Highway 67 Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585819",
            "country_code": "US",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Exchange St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313247646",
            "country_code": "US",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "MD20481",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "044980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000795814K",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00795814A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.