Kidney Specialists of Savannah, P. C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KIDNEY SPECIALISTS OF SAVANNAH, P. C.

Practice address

500 E 66TH St
Savannah, GA 31405-4339

Phone

(912) 356-5643

Fax

(912) 356-9712

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Lindsey Wiggins

Title

RN/Office Manager

Phone

(912) 356-5643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kidney Specialists of Savannah PC

  • Nephrology Physician
  • Hardeeville, SC
  • NPI 1760662464

  O20050908000132

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew James Day, M.D.

  • Nephrology Physician
  • Savannah, GA
  • NPI 1619237328
  Medicare reassignment Care Compare group NPD
• Florin C Georgescu, M. D.

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1003816208

  SC

  Medicare reassignment Care Compare group NPD
• Nancy Sue Thompson, M. D.

  • Nephrology Physician
  • Brunswick, GA
  • NPI 1831199033
  Medicare reassignment Care Compare group NPD
• Marett Anne Panter, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Gainesville, GA
  • NPI 1548729205
  Medicare reassignment NPD
• Tinika A Montgomery, M.D.

  • Nephrology Physician
  • Fargo, ND
  • NPI 1295895738

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1669534855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054339",
            "telephone_number": "912-356-5643",
            "fax_number": "912-356-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054339",
            "telephone_number": "912-356-5643",
            "fax_number": "912-356-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALISTS OF SAVANNAH, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "RN/OFFICE MANAGER",
        "authorized_official_telephone_number": "912-356-5643"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasil Khan, MD PHD
• Darya Khani
• Michael Kheshvadjian, MD
• Kicklighter Resource Center
• Tanya Kidd
• Kidney Specialists of Southeast Georgia, Inc
• Kidz R US Therapy LLC
• Krystyna D. Kiel, M.D.
• Rachel Kiene, NP
• Amanda Bresnehan Kierzkowski, DO

• Specialist in Savannah, GA
• Providers in Savannah, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.