Active NPI
Nancy Elizabeth Backus, MD
- Internal Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 73206
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003166998A | Medicaid | GA |
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
- 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73206 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Savannah, GA
- NPI 1174891774
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- 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.