Individual provider Active NPI

Scott W Anderson, MD

  • Cardiovascular Disease Physician
  • Savannah, GA
National Provider Identifier
1750397295
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20649 Issued in GA
Practice address
St. Joseph'S Cardiology Group LLC
11700 Mercy Blvd, Plaza D, BLDG 6
Savannah, GA 31419
Phone
(912) 927-3434
Fax
(912) 927-5016
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20649 GA Primary

Addresses

Primary practice location

St. Joseph'S Cardiology Group LLC
11700 Mercy Blvd, Plaza D, BLDG 6
Savannah, GA 31419

Mailing address

11700 Mercy Blvd Ste 6
Savannah, GA 31419-1753
Phone (912) 927-3434

Other identifiers 1

IdentifierTypeStateIssuer
000221317N,I,J,L,MMedicaidGA

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
I20040622000426 GA Practitioner - Cardiovascular Disease (Cardiology) 5395720551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Emory University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph'S Cardiology Group LLCGroup PAC ID 3274770227, 17 clinicians

Practice addresses (Care Compare)

11700 Mercy Blvd
Savannah, GA 31419-1753
Phone (912) 927-3434

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20649GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Cardiology Group, LLC Cardiovascular Disease CurrentSince Feb 1, 2022 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease Past Accepting new patients

Locations

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

11700 Mercy Blvd
Savannah, GA 31419
Phone (404) 935-9116

11700 Mercy Blvd
Ste 6
Savannah, GA 31419
Phone (912) 961-8647

Interoperability endpoints

  • Direct secure messaging: scottanderson@cas.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1750397295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD STE 6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-927-3434",
            "fax_number": "912-927-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JOSEPH'S CARDIOLOGY GROUP LLC",
            "address_2": "11700 MERCY BLVD, PLAZA D, BLDG 6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-927-3434",
            "fax_number": "912-927-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "20649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000221317N,I,J,L,M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.