Individual provider Active NPI

Anthony J Avino, M.D.

  • Vascular Surgery Physician
  • Savannah, GA
National Provider Identifier
1649216649
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
047185 Issued in GA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G47185MedicaidSC
00823567AMedicaidGA
000823567RMedicaidGA
000823567CMedicaidGA

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
I20081203000255 GA Practitioner - Vascular Surgery 3971538265 Reassigns benefits to 1 organization

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
Savannah Vascular Institute, LLCGroup PAC ID 2769542075, 20 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
83.11 of 100Reported as group
Quality
51.32
Promoting interoperability
98
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal30
Leg revascularization (restoring blood flow)29
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Vascular Institute, LLC Vascular Surgery CurrentSince Oct 1, 2008 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

  • Direct secure messaging: anthony.avino.p1@direct.savannahvascular.nextgenshare.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.