Robert T. O'Bannon III, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

060309 Issued in GA

Practice address

13040 Abercorn St
Suite 2
Savannah, GA 31419-1955

Phone

(770) 645-9181

Fax

(770) 645-8455

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Au Medical Associates Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933
  NPD (past)
• BDT Anesthesia Associates PC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1174670103
  NPD (past)
• Northside Anesthesiology Consultants, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1083600308
  NPD (past)
• Sheridan Healthcare of West Virginia Inc

  • Anesthesiology Physician
  • Logan, WV
  • NPI 1861567851
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1639191612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DR",
            "address_2": "STE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653194",
            "telephone_number": "770-814-6011",
            "fax_number": "770-814-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 ABERCORN ST",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191955",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANNON",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "22326",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "060309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433679505B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Nyce, MD
• Shelby Elizabeth Nycz, PA-C
• Amanda Grace Nye
• Robin O Hern, APRN,BC
• O K B U, LLC
• Megan O'Connell
• James Craig O'Connor, MS, BCBA
• John P O'Connor
• Jennifer O'Dell, RDH
• Shelly O'Dell, COTA/L

• Anesthesiology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.