Organization Active NPI

Savannah Endocrine & Diabetes P.C.

  • Specialist
  • Savannah, GA
National Provider Identifier
1629251699
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
026286 Issued in GA
Legal business name
SAVANNAH ENDOCRINE & DIABETES P.C.
Practice address
340 Eisenhower Dr
#1600
Savannah, GA 31406-1600
Phone
(912) 355-6029
Fax
(912) 352-3071
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SAVANNAH ENDOCRINE & DIABETES P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mrs. Elise Gerbsch Gresham, RN
Title
Practice Manager
Phone
(912) 355-6029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 026286 GA Primary

Addresses

Primary practice location

340 Eisenhower Dr
#1600
Savannah, GA 31406-1600

Mailing address

340 Eisenhower Dr
#1600
Savannah, GA 31406-1600
Phone (912) 355-6029

National Provider Directory

National Provider Directory
Part of
Savannah Endocrine Diabetes

Locations

340 Eisenhower Dr
Ste 1600
Savannah, GA 31406
Phone (912) 353-0070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1629251699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "address_2": "#1600",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-355-6029",
            "fax_number": "912-352-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "address_2": "#1600",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-355-6029",
            "fax_number": "912-352-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH ENDOCRINE & DIABETES P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAVANNAH ENDOCRINE & DIABETES P.C.",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "GERBSCH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-355-6029",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "026286",
            "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 Dec 12, 2007; 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.