Individual provider Active NPI

Patrick J. Nunan, D.P.M.

  • Podiatrist
  • Savannah, GA
National Provider Identifier
1780648345
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001278 Issued in GA
Practice address
9104 Middleground Rd
Suite 2
Savannah, GA 31406-4319
Phone
(912) 927-8011
Fax
(912) 927-8311
NPI assigned
Apr 12, 2006
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001278 GA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 36-00-2221 OH
Sports Medicine Podiatrist 213ES0000X 36-00-2221 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36-00-2221 OH

Addresses

Primary practice location

9104 Middleground Rd
Suite 2
Savannah, GA 31406-4319

Mailing address

9104 Middleground Rd
Suite 2
Savannah, GA 31406-4319
Phone (912) 927-8011

Other identifiers 4

IdentifierTypeStateIssuer
003159203CMedicaidGA
0695530001OtherOHMEDICARE NFC
0673703MedicaidOH
1780648345OtherOHNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000163 SC Practitioner - Podiatry 1355306879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 256-6776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
63.47
Promoting interoperability
93
Improvement activities
40
Cost
87.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue365
Removal or shaving of skin growth234
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
POD001278GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Antioch Vascular Center, LLC Past Accepting new patients
Stride Pharmacy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.nunan.1@27654.direct.athenahealth.com

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.

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1780648345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 MIDDLEGROUND RD",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064319",
            "telephone_number": "912-927-8011",
            "fax_number": "912-927-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 MIDDLEGROUND RD",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064319",
            "telephone_number": "912-927-8011",
            "fax_number": "912-927-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAN",
        "first_name": "PATRICK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001278",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36-00-2221",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OH",
            "license": "36-00-2221",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-2221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159203C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NFC",
            "identifier": "0695530001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673703",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780648345",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.