Savannah Kelly Schadt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13123 Issued in NC

Practice address

2311 Delaney Ave
Wilmington, NC 28403-6012

Phone

(910) 762-8754

Fax

(910) 762-0778

NPI assigned

Apr 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Savannah Kelly Poor Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilmington Ear Nose and Throat Assoc PAGroup PAC ID 0143200121, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: spoor189368@orlandohealth.medalliesdirect.net
• Direct secure messaging: spoor734787@direct.hopkinsmedicine.org

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.

• Wilmington Ear Nose & Throat Assoc., P.a.

  • Specialist
  • Wilmington, NC
  • NPI 1710932629
  Medicare reassignment Care Compare group
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Steven and Michael Hochman Medical Corporation Inc.

  • Internal Medicine Physician
  • Sunland, CA
  • NPI 1356047609
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1760045272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036012",
            "telephone_number": "910-762-8754",
            "fax_number": "910-762-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036012",
            "telephone_number": "910-762-8754",
            "fax_number": "910-762-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8115 Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284118430",
            "country_code": "US",
            "telephone_number": "910-762-8754",
            "fax_number": "910-762-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHADT",
        "first_name": "SAVANNAH",
        "middle_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13123",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "POOR",
            "middle_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Marie Scarduzio
• Patricia Gail Scarlett-Rafferty, PHARMD
• Cara Scatena, PA-C
• Denise Marie Scearce, MSW, LCSW
• Samuel Schadt, DO
• Lauren Schaefer, PHD
• Robert Kenneth Schaffer Jr., D.D.S.
• Liza Gail Schaffner, MD
• Jeremy Michael Schain, PT, DPT
• Nicholas Hummer Schambach, PA-C

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• 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.

Verify at the official NPI Registry.