Savannah River Dermatology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

060452 Issued in GA

Legal business name

SAVANNAH RIVER DERMATOLOGY LLC

Practice address

575 Furys Ferry Rd
Martinez, GA 30907-9059

Phone

(706) 691-7079

Fax

(706) 364-0416

NPI assigned

Oct 21, 2008

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna K Duckworth

Title

Physician

Phone

(706) 691-7079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Allison Rogers Paine, MD

  • Dermatology Physician
  • Martinez, GA
  • NPI 1104212612
  Medicare reassignment Care Compare group NPD
• Cameron Blaine Carter, PA

  • Physician Assistant
  • Augusta, GA
  • NPI 1447509443
  Medicare reassignment Care Compare group
• Ansley Thompson Coffey, PA

  • Physician Assistant
  • Augusta, GA
  • NPI 1700255452
  Medicare reassignment Care Compare group
• Anna Katherine Wiggins Duckworth, M.D.

  • Dermatology Physician
  • Martinez, GA
  • NPI 1972623288
  Medicare reassignment Care Compare group
• Karen Clepper Parviainen, MD

  • Procedural Dermatology Physician
  • Augusta, GA
  • NPI 1023042124
  Medicare reassignment Care Compare group
• Caitlyn Russell

  • Physician Assistant
  • Martinez, GA
  • NPI 1639700925
  Medicare reassignment Care Compare group
• Stephanie Michelle Zimmerman, PA-C

  • Physician Assistant
  • Martinez, GA
  • NPI 1396299061
  Medicare reassignment Care Compare group
• Sarah Josephson Cely, M.D.

  • Dermatology Physician
  • Augusta, GA
  • NPI 1225235393
  Medicare reassignment

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1700038924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FURYS FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079059",
            "telephone_number": "706-691-7079",
            "fax_number": "706-364-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FURYS FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079059",
            "telephone_number": "706-691-7079",
            "fax_number": "706-364-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH RIVER DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DUCKWORTH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-691-7079",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "060452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe at Home Senior Care
• Sakinah Center
• Buddy D. Sanders, M.A.
• Pamela Ann Sanders, R.N.
• Melloney Santiago, QMHP
• Samantha Nicole Scala, RBT
• Morgan Taylor Schaack, RD LD CPT
• Mackenzie Schaeffer
• Georgia Schaffer
• Jennifer Schofield

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.