Individual provider Active NPI

Kennedy Kelechi Okere, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1750347696
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050331 Issued in GA
Practice address
2 Roberts St
Savannah, GA 31408-3524
Phone
(912) 527-1000
Fax
(912) 527-1002
NPI assigned
Apr 20, 2006
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22251 OK
Family Medicine Physician 207Q00000X 050331 GA Primary

Addresses

Primary practice location

2 Roberts St
Savannah, GA 31408-3524

Mailing address

2 Roberts St
Savannah, GA 31408-3524
Phone (912) 527-1000

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
I20050119000258 GA Practitioner - Family Practice 9537118385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curtis V. Cooper Primary Health Care, Inc.Group PAC ID 4789667015, shared by 13 NPIs, 32 clinicians

Practice addresses (Care Compare)

106 E Broad St
Savannah, GA 31401-2917
Phone (912) 527-1000

2 Roberts St
Savannah, GA 31408-3524
Phone (912) 966-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince May 23, 2015 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc CurrentSince May 23, 2015 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care Inc. Current Accepting new patients
Memorial Health Urgentone, Inc. Family Medicine Past Accepting new patients
Memorial Health Urgentone, Inc. Family Medicine Past Accepting new patients

Locations

1214 N Columbia Ave
Rincon, GA 31326
Phone (912) 527-1120

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

1501 Abercorn St
Savannah, GA 31401
Phone (912) 233-7970

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

907 E 67th St
Savannah, GA 31405
Phone (912) 352-0129

Organizations & group practices 7

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 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1750347696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROBERTS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314083524",
            "telephone_number": "912-527-1000",
            "fax_number": "912-527-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROBERTS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314083524",
            "telephone_number": "912-527-1000",
            "fax_number": "912-527-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERE",
        "first_name": "KENNEDY",
        "middle_name": "KELECHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "22251",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.