Individual provider Active NPI

Steven K Corse, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1750320073
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026088 Issued in GA
Practice address
836 E. 65TH Street
Suite 9
Savannah, GA 31405
Phone
(912) 819-0500
Fax
(912) 819-0501
NPI assigned
Jun 5, 2006
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 026088 GA Primary

Addresses

Primary practice location

836 E. 65TH Street
Suite 9
Savannah, GA 31405

Mailing address

919 Conference Dr Ste 4
Box 167
Goodlettsville, TN 37072-1924

Other identifiers 3

IdentifierTypeStateIssuer
000288538UMedicaidGA
G26088MedicaidSC
P00630153OtherGARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000813 GA Practitioner - Internal Medicine 2860446721 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
SJC Medical Group Inc Internal Medicine CurrentSince Jun 2, 2020 Accepting new patients
Hourlife LLC Internal Medicine PastSince Apr 1, 2010 Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

340 Eisenhower Dr
Ste 1200
Savannah, GA 31406
Phone (912) 443-4200

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

527 Eisenhower Dr
Savannah, GA 31406
Phone (912) 443-4200

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

836 E 65th St
Ste 9
Savannah, GA 31405
Phone (912) 352-4490

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephencorse@bcgmg.allscriptsdirect.net
  • Direct secure messaging: steven.corse@sjcmg.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1750320073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONFERENCE DR STE 4",
            "address_2": "BOX 167",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-0500",
            "fax_number": "912-819-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSE",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000288538U",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G26088",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00630153",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.