Individual provider Active NPI

Nancy Elizabeth Backus, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1730325085
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73206 Issued in GA
Practice address
835 E 65TH St Ste 108
Savannah, GA 31405-4430
Phone
(912) 303-7966
Fax
(912) 692-6666
NPI assigned
Dec 16, 2008
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 73206 GA Primary

Addresses

Primary practice location

835 E 65TH St Ste 108
Savannah, GA 31405-4430

Mailing address

835 E 65TH St Ste 108
Savannah, GA 31405-4430
Phone (912) 303-7966

Other practice location 1

4700 Waters Avenue
Savannah, GA 31404
Phone (912) 350-8000

Other identifiers 1

IdentifierTypeStateIssuer
003166998AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Practice addresses (Care Compare)

22 W Oglethorpe Ave
Savannah, GA 31401-3702
Phone (912) 443-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73206GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Place Community Services, Inc. Current Accepting new patients

Locations

515 E 63rd St
Savannah, GA 31405
Phone (912) 352-2921

835 E 65th St
Ste 104
Savannah, GA 31405
Phone (912) 355-1440

Organizations & group practices 1

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 3

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1730325085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 65TH ST STE 108",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054430",
            "telephone_number": "912-303-7966",
            "fax_number": "912-692-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 65TH ST STE 108",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054430",
            "telephone_number": "912-303-7966",
            "fax_number": "912-692-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Avenue",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "73206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003166998A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.