Active NPI
Gary Allen Luken, MD
- Family Medicine Physician
- Savannah, GA
National Provider Identifier
1760499412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36964
- Practice address
- 325 West Montgomery Cross Road
Savannah, GA 31406-5641 - Phone
- (208) 989-0813
- NPI assigned
- Aug 2, 2006
- Last updated
- Jan 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36964 | AZ | Primary |
Addresses
Primary practice location
325 West Montgomery Cross Road
Savannah, GA 31406-5641
Mailing address
325 W Montgomery Cross Rd
Savannah, GA 31406-3309
Phone (888) 878-6886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020537 | Medicaid | AZ | |
| AZ0201750 | Other | AZ | AZ BLUECROSS AND BLUESHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Emergency Group, LLC | Current | Accepting new patients | |
| Gary a Luken MD | Family Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc | Past | Accepting new patients |
Locations
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
-
- Family Medicine Physician
- Manheim, PA
- NPI 1629133699
-
- Emergency Medicine Physician
- Parker, AZ
- NPI 1821048927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1760499412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W MONTGOMERY CROSS RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063309",
"telephone_number": "888-878-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 WEST MONTGOMERY CROSS ROAD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314065641",
"telephone_number": "208-989-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKEN",
"first_name": "GARY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "36964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020537",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BLUECROSS AND BLUESHIELD",
"identifier": "AZ0201750",
"state": "AZ"
}
],
"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 Jan 24, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.