Active NPI
Anthony J Avino, M.D.
- Vascular Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 047185
- Practice address
- 4750 Waters Ave
Suite 500
Savannah, GA 31404-6200 - Phone
- (912) 350-5961
- Fax
- (912) 350-5942
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 047185 | GA | Primary |
Addresses
Primary practice location
4750 Waters Ave
Suite 500
Savannah, GA 31404-6200
Mailing address
PO Box 116336
Atlanta, GA 30368-6336
Phone (912) 352-8346
Other practice location 1
104 Charles Andrew Dr Unit 124
Vidalia, GA 30474-7241
Phone (912) 352-8346
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G47185 | Medicaid | SC | |
| 00823567A | Medicaid | GA | |
| 000823567R | Medicaid | GA | |
| 000823567C | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Florida College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 S Main St
Suite 205
Hinesville, GA 31313-4354
Phone (912) 352-8346
7208 Hodgson Memorial Dr
Suite a
Savannah, GA 31406-2512
Phone (912) 629-7800
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Memorial Health Meadows Hospital
- St Joseph's Hospital - Savannah
- Fairview Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.11 of 100
- Quality
- 51.32
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 79.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 30 |
| Leg revascularization (restoring blood flow) | 29 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Vascular Institute, LLC | Vascular Surgery | Current | Accepting new patients |
| Savannah Health Services, LLC | Past | Accepting new patients |
Locations
166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4750 Waters Ave
Ste 500
Savannah, GA 31404
Phone (912) 350-5961
7208 Hodgson Memorial Dr
Ste A
Savannah, GA 31406
Phone (912) 351-5050
104 Charles Andrew Dr
Unit 124
Vidalia, GA 30474
Phone (912) 352-8436
Interoperability endpoints
- anthony.avino.p1@direct.savannahvascular.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Vascular Surgery Physician
- Savannah, GA
- NPI 1184873390
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Park Hospital
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1649216649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303686336",
"telephone_number": "912-352-8346",
"fax_number": "912-355-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 WATERS AVE",
"address_2": "SUITE 500",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046200",
"telephone_number": "912-350-5961",
"fax_number": "912-350-5942"
}
],
"practiceLocations": [
{
"address_1": "104 Charles Andrew Dr Unit 124",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304747241",
"country_code": "US",
"telephone_number": "912-352-8346",
"fax_number": "912-355-5515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVINO",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "047185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G47185",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00823567A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000823567R",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000823567C",
"state": "GA"
}
],
"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 Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.