Individual provider Active NPI

Shawna Lee Silverman, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1780841676
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005319 Issued in GA
Practice address
11133 Abercorn St
Ste 10
Savannah, GA 31419-1829
Phone
(912) 925-3382
Fax
(912) 920-1048
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005319 GA Primary

Addresses

Primary practice location

11133 Abercorn St
Ste 10
Savannah, GA 31419-1829

Mailing address

11133 Abercorn St
Ste 10
Savannah, GA 31419-1829
Phone (912) 925-3382

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000089 GA Practitioner - Physician Assistant 5395817571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005319GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Mar 30, 2016 Accepting new patients
Department of Behavioral Health & Developmental Disabilities CurrentSince Mar 30, 2016 Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1780841676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 ABERCORN ST",
            "address_2": "STE 10",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191829",
            "telephone_number": "912-925-3382",
            "fax_number": "912-920-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 ABERCORN ST",
            "address_2": "STE 10",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191829",
            "telephone_number": "912-925-3382",
            "fax_number": "912-920-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "SHAWNA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.