Organization Active NPI

Pritzker Dermatology, P.C.

Doing business as Savannah Dermatology Clinic, P.C.

  • Specialist
  • Savannah, GA
National Provider Identifier
1649394065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
048454 Issued in GA
Legal business name
PRITZKER DERMATOLOGY, P.C.
Doing business as
Savannah Dermatology Clinic, P.C.
Practice address
712 E 70TH St
Savannah, GA 31405-4811
Phone
(912) 352-8974
Fax
(912) 355-8329
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adam S Pritzker, M.D.NPI 1285724351
Title
President
Phone
(912) 352-8974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 048454 GA Primary

Addresses

Primary practice location

712 E 70TH St
Savannah, GA 31405-4811

Mailing address

712 E 70TH St
Savannah, GA 31405-4811
Phone (912) 352-8974

Other names 1

  • Savannah Dermatology Clinic, P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000013 GA Part B Supplier - Clinic/Group Practice 9133100852 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0264795Savannah Dermatology Clinic712 East 70TH St, Savannah, GA 31405Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

712 E 70th St
Savannah, GA 31405
Phone (912) 352-8974

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHCBCA

Practitioners & affiliated clinicians

Practitioners 4

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649394065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054811",
            "telephone_number": "912-352-8974",
            "fax_number": "912-355-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054811",
            "telephone_number": "912-352-8974",
            "fax_number": "912-355-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITZKER DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRITZKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-352-8974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "048454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Dermatology Clinic, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.