NPIMap

Organization Active NPI

Savannah Clinic Associates LLC

  • Family Medicine Physician
  • Aubrey, TX
National Provider Identifier
1770754236
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAVANNAH CLINIC ASSOCIATES LLC
Practice address
26795 US Highway 380 E
Suite 100a
Aubrey, TX 76227-7853
Phone
(972) 347-5761
Fax
(972) 347-5786
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Lana Ralston, FNPNPI 1447296231
Title
Owner
Phone
(214) 632-3514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

26795 US Highway 380 E
Suite 100a
Aubrey, TX 76227-7853

Mailing address

26795 US Highway 380 E
Suite 100a
Aubrey, TX 76227-7853
Phone (972) 347-5761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104004165 TX Part B Supplier - Clinic/Group Practice 4183760549 Receives reassigned benefits from 3 practitioners
Practice locations: Aubrey, TX

National Provider Directory

National Provider Directory

Locations

8301 Lakeview Pkwy
Ste 111189
Rowlett, TX 75088

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1770754236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26795 US HIGHWAY 380 E",
            "address_2": "SUITE 100A",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277853",
            "telephone_number": "972-347-5761",
            "fax_number": "972-347-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26795 US HIGHWAY 380 E",
            "address_2": "SUITE 100A",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277853",
            "telephone_number": "972-347-5761",
            "fax_number": "972-347-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH CLINIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-632-3514",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.